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CC BY 4.0 · Aorta (Stamford) 2021; 09(04): 155-157
DOI: 10.1055/s-0041-1729849
Case Report

Complicated Intramural Hematoma with Medionecrosis of the Aortic Wall

Rosmi P. Thomas 
1   Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania
,
Natalie Gaughan
2   Florida Atlantic University, Boca Raton, Florida
,
Daniel Anderson
3   Division of Pathology, The Johns Hopkins Hospital, Baltimore, Maryland
,
Stefano Schena 
4   Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, Maryland
› Author Affiliations Funding None.
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Abstract

Medionecrosis and medial degeneration are rare complications associated with intramural hematomas (IMHs). We present a case of a 69-year-old Asian female with an IMH with medionecrosis and medial degeneration of the aortic wall. The patient underwent successful surgical intervention, and pathological findings were significant for cystic medial degeneration of the aortic wall.

Keywords

aortic dissection - aortic arch - pathology


Publication History

Received: 27 March 2020

Accepted: 25 February 2021

Article published online:
29 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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