We present a case of intramural hematoma initially misdiagnosed as ang
ina, and requiring myocardial revascularization. Angiography failed to
lead to the proper diagnosis and the original transesophageal echocar
diogram was misinterpreted as showing an intimal flap that was actuall
y an echocardiographic artifact. The echocardiographic characteristics
and implications of this entity are reviewed. (C) 1998 by Elsevier Sc
ience Inc.