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Ann Thorac Surg 2002;73:958-960
© 2002 The Society of Thoracic Surgeons

Case report

Intramural hematoma of the thoracic aorta in a woman with neurofibromatosis

Omar A. Ali, MD*a, Nsidinanya Okike, MDa, Robert G. Hogan, MDa, Richard C. Becker, MDa

a University of Massachusetts-Memorial Medical Center, Worcester, Massachusetts, USA

Accepted for publication June 1, 2001.

* Address reprint requests to Dr Ali, University of Massachusetts-Memorial Medical Center, 55 Lake Ave N, Worcester, MA 01655, USA
e-mail: oali23{at}aol.com

The natural history and preferred approach to patients with intramural hematoma of the aorta remains controversial. We describe herein the management of the case of a 45-year-old woman with acute onset of chest pain, intramural hematoma of the arch and proximal descending aorta, and left pleural effusion. In this particular case, a nonsurgical approach led to complete recovery of the patient and documented resolution of the hematoma.




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