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Case Report

RMJ. 2015; 40(4): 468-471

Intramural Hematoma and Penetrating Atherosclerotic Ulcer – A Case Report And Review of literature

Yang Liang Boo, Hon Shen P’ng, Suat Yee Lim, Pek Woon Chin, Fan Kee Hoo.


Penetrating atherosclerotic ulcer (PAU) represents part of the “acute aortic syndrome” (AAS) spectrum. It is uncommon but potentially hazardous if delayed or misdiagnosed. It may progress to complications such as intramural hematoma (IMH), aortic dissection (AD) or rupture. It is characterized by the ulceration of the aortic wall as a result of atherosclerotic plaque along the wall of aorta. Here, we describe a case of PAU complicated with IMH.

Key words: Atherosclerotic, Plaque, Atheroma, Aortic dissection, Hematoma

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