Typical Presentation of Intramural Aortic Haemorrhage (IAH) with Evidence of Intimal Tear at MRI and Angiography

Abstract

A typical appearance of IAH was evidenced by CT and TEE in a 56-year-old hypertensive female suspected of developping classical acute aortic dissection (AAD). Further examination with MRI and aortography showed unequivocally the presence of an intimai tear in the aortic arch. This coexistence of intimal tear has never been evidenced preoperatively in patients with IAH. This observation demonstrates at the outset that IAH is part of the spectrum of AAD.

Key words:

• Intramural aortic haemorrhage
• acute aortic dissection