Right atrial intramural hematoma associated with aortic dissection

Rajiv N. Thakkar, Vaishali B. Popat, Carlos Orbegoso

Research output: Contribution to journalArticlepeer-review


A 75-year-old male presented with shortness of breath and abdominal pain; he had undergone coronary artery bypass graft surgery three months ago and had a history of coronary artery disease, hypertension, and end-stage renal disease. Transthoracic echocardiogram showed a right atrial mass. A computed axial tomography scan showed an atrial mass and type A aortic dissection. The patient sustained cardiorespiratory arrest and died. An autopsy showed an 8 cm atrial intramural hematoma originating from a dissecting aneurysm. This is the first case of right atrial intramural hematoma associated with aortic dissection exhibiting high mortality. Early diagnosis using multiple imaging modalities including magnetic resonance imaging and timely surgical intervention may improve survival. Intramural hematomas should be considered in patients presenting with right-sided cardiac lesions.

Original languageEnglish (US)
Pages (from-to)1177-1179
Number of pages3
JournalSouthern medical journal
Issue number11
StatePublished - Nov 2008
Externally publishedYes


  • Atrial hematoma
  • Intramural hematoma
  • Intramyocardial hematoma

ASJC Scopus subject areas

  • Medicine(all)


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