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Clinics and Practice
Volume 2
Issue 1
10.4081/cp.2012.e12
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

An under Recognized Cause of Chest Pain

by
Unnikrishnan Ponnamma Kunjan Pillai
*,
Santosh G. John
,
Aparna Narayana Kurup
,
Joe Devasahayam
and
Alexandre Lacasse
Department of Internal Medicine, St. Mary’s Health Center, St. Louis, MO, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2012, 2(1), e12; https://doi.org/10.4081/cp.2012.e12
Submission received: 13 November 2011 / Revised: 27 December 2011 / Accepted: 2 January 2012 / Published: 18 January 2012

Abstract

Aortic intramural hematoma (IMH) is related to but is pathologically distinct from aortic dissection. In this potentially lethal entity, there is hemorrhage into the aortic media in the absence of an intimal tear. With recent advances in imaging techniques, IMH is now increasingly recognized. The limited data available suggest that the clinical course of IMH mimics that of acute aortic dissection, and mortality rates are similar. Physicians need to be cognizant regarding this entity when they are evaluating chest pain. Here we report a case of IMH, in a 63-year-old female, which was managed conservatively.
Keywords: intramural hematoma; dissection intramural hematoma; dissection

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MDPI and ACS Style

Ponnamma Kunjan Pillai, U.; John, S.G.; Narayana Kurup, A.; Devasahayam, J.; Lacasse, A. An under Recognized Cause of Chest Pain. Clin. Pract. 2012, 2, e12. https://doi.org/10.4081/cp.2012.e12

AMA Style

Ponnamma Kunjan Pillai U, John SG, Narayana Kurup A, Devasahayam J, Lacasse A. An under Recognized Cause of Chest Pain. Clinics and Practice. 2012; 2(1):e12. https://doi.org/10.4081/cp.2012.e12

Chicago/Turabian Style

Ponnamma Kunjan Pillai, Unnikrishnan, Santosh G. John, Aparna Narayana Kurup, Joe Devasahayam, and Alexandre Lacasse. 2012. "An under Recognized Cause of Chest Pain" Clinics and Practice 2, no. 1: e12. https://doi.org/10.4081/cp.2012.e12

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