Extensive intramural haematoma of the thoracic aorta. A case report.

A[TRACE;del] 53-year-old hypertensive patient presenting with acute chest p ain was found to have an intramural haematoma (IMH) of both ascending and d escending aorta associated with a 6 cm ascending fusiform aortic aneurysm. Six weeks of antihypertensive treatment allowed complete resolution of the intramural haematoma of the descending aorta. Limited surgical repair of th e ascending aorta by Gore-Tex graft prosthesis interposition was then perfo rmed. The patient was in good health with a one-year follow-up. (C) 2000 Ed itions scientifiques et medicales Elsevier SAS.