PMC1769475_01
Transesophageal echocardiogram in the longitudinal plane showing aortic intramural hematoma compromising its anterior aspect (arrow). Notice the partially organized extravasated blood occupying the Theile sinus (arrowhead).
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F1
An urgent transesophageal echocardiogram revealed aortic intramural hematoma compromising the anterior wall of the ascending aorta (Fig. 1) with no evidence of aortic dissection, and severe pericardial effusion with cardiac tamponade and periaortic hematoma that involved the pulmonary artery generating circumferential wall thickening of its trunk (Fig 2) and right branch (Fig. 3) with no evidence of flow obstruction (Fig. 4) [see Additional file 1].
Short axis view at the level of the great vessels showing circumferential wall thickening of the pulmonary artery (arrow).
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F2
An urgent transesophageal echocardiogram revealed aortic intramural hematoma compromising the anterior wall of the ascending aorta (Fig. 1) with no evidence of aortic dissection, and severe pericardial effusion with cardiac tamponade and periaortic hematoma that involved the pulmonary artery generating circumferential wall thickening of its trunk (Fig 2) and right branch (Fig. 3) with no evidence of flow obstruction (Fig. 4) [see Additional file 1].
Evaluation with pulse wave Doppler of the right pulmonary artery showing normal flow velocity.
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F4
An urgent transesophageal echocardiogram revealed aortic intramural hematoma compromising the anterior wall of the ascending aorta (Fig. 1) with no evidence of aortic dissection, and severe pericardial effusion with cardiac tamponade and periaortic hematoma that involved the pulmonary artery generating circumferential wall thickening of its trunk (Fig 2) and right branch (Fig. 3) with no evidence of flow obstruction (Fig. 4) [see Additional file 1].