Aortic Intramural Hematoma Mimicking Acute Coronary Syndrome

Type A Aortic intramural haematoma (IMH), a variant form of classic aortic dissection, has been accepted as an increasingly recognised and potentially fatal entity acute syndrome.It is very dangerous, fatal, emergency condition. It important to recognize the symptoms syndrome related appropriate management Case Illustration 52 year old man patient suffered from chest pain with moderate intensity while he was working at home. sharp , tear-like sensation, in middle radiated back, accompanied cold sweating, did not relieve by rest. Because this condition brought hospital. From examination Emergency room, had cardiomegaly, dilatation. Electrocardiography st elevation V1-V2 T inverted V4-V6 precordial lead,I aVL extremities lead slightly elevated cardiac enzymes risk factors for active smoking uncontrolled hypertension. Initially suspected having coronary differential diagnose syndrome. To exclude underwent catheterization, cardiologist charge suspicious dissection because trapping contrast durante procedure minor disease. For better diagnosis, transtransthoracic echocardiography Computed Tomography angiography performed on which confirmed evidence dissection. After being diagnosed, we treat stabilize patient's The planned surgery Discussion Acute syndrome, includes Dissection, Intramural Hematoma penetrating ulcer, difficult diagnosed. hematoma, one syndromes, characterized presence hematoma medial layer wall without appearance intimal tear. incidence differs that Patients hematomas often occur older patients, more aneurysms receive treatment aggressively control blood pressure administering non-dihydropyridine calcium channel blocker intravenously then beta blocker, angiotensin II receptor blockers, also needed. where can present varying severity, misdiagnosis delay cases life-threatening In case our patient, who strong factors, His initial presentation described myocardial infarction; diagnosis made after CT scan remained stable Conclussion Complaints due are be recognized immediately they need proper management. have similarities complaints pulmonary embolism others. high developing periaortic hemorrhagic pericardial effusion. patients Stanford A, most surgical technique. Initial control, heart rate anti-pain given. case, choice combination endovascular may logical therapy