IgG4-related aortitis mimicking intramural hematoma

Güler, Gamze Babur; Cantürk, Emir; Güler, Ekrem; Oran, Gülbin; Demir, Gültekin Günhan; Akçevin, Atıf; Barutçu, İrfan

doi:10.14744/AnatolJCardiol.2016.7185

Case Report

IgG4-related aortitis mimicking intramural hematoma

Gamze Babur Güler ¹ , Emir Cantürk ² , Ekrem Güler ¹ , Gülbin Oran ³ , Gültekin Günhan Demir ¹ , Atıf Akçevin ² , İrfan Barutçu ¹

¹Departments of Cardiology, Faculty of Medicine, İstanbul Medipol University; İstanbul-Turkey
²Cardiovascular Surgery, Faculty of Medicine, İstanbul Medipol University; İstanbul-Turkey
³Pathology, Faculty of Medicine, İstanbul Medipol University; İstanbul-Turkey

Anatol J Cardiol 2016; 16(9): 728-729 PubMed ID: 27609436 PMCID: 5331360 DOI: 10.14744/AnatolJCardiol.2016.7185

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Abstract

Acute aortic syndromes (AAS) are life-threatening conditions, and despite advances in imaging techniques, their diagnosis and treatment remain challenging. While intramural hematoma is much less common than acute aortic dissection (AD), which is the most common form of AAS, they have similar mortality rates (1). On the other hand, aortitis may mimic intramural hematoma (IMH) due to radiologic similarity and, thus, may lead to misdiagnosis and treatment.
Here, we describe an IgG4-related aortitis case mimicking intramural hematoma (IMH) due to radiologic image and presenting with chest pain and severe aortic regurgitation.