Intramural aortic hematoma as a cause of chest pain.

Intramural aortic hematoma is included within the acute aortic syndrome, along with aortic dissection and arteriosclerotic penetrating ulcer. We present the case of a 62-year-old patient who began with a chest pain clinic that did not respond to the usual analgesia, and who was subsequently operated on by an intramural aortic hematoma, after the diagnosis by CT and echocardiography (Figure 1)