Medical history A 64-year-old male, admitted with sudden, cataclysmic, retrosternal chest pain, radiating to the back, accompanied by sweating and shortness of breath. History of systemic arterial hypertension since 18 years old, refractory to treatment. On examination: BP: 220 x 120 mmHg, protodiastolic decrescendo murmur in aortic area, aspirative, grade II, and reduction of the left radial pulse. No focal neurological deficits. A CT scan of the thoracic aorta was requested. CT angiography of the thoracic aorta, axial sections at T5 level, pre-contrast phase (a) arterial phase (b).Sagittal reconstruction of computed angiotomography of the thoracic aorta in the arterial phase.CT angiography of the thoracic aorta, arterial phase, axial section at the level of T6-T7. Question:Given the clinical and radiological data presented, indicate the most likely diagnosis: Acute aortic dissection Aortic intramural hematoma Penetrating aortic ulcer Giant cell arteritis Test question (UERJ - cardiologist - 2017) A patient, hypertensive, presents with excruciating pain in the posterior region of the chest. Computed tomography showed type B intramural hematoma.Question:Of the factors described below, what is related to spontaneous hematoma resolution is: hematoma thickness <10 mm diameter of the aorta = 50 mm age > 60 years aortic angioresonance with T2 hypersignal female sex Time is Up! Time's up
