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Actually, I know what the medical literature says it is. I'm wondering what to expect in the future --- something the doctors aren't willing to talk much about. My mother, almost 98 years old, suffered the hematoma a week ago. Initially, the doctors thought it was an "aortic dissection" and told the family that she might have only hours to live. After her transfer to a hospital with more services and more cardiac specialists on staff, she got the less serious diagnosis of hematoma. After about five days, the doctor said the hematoma was healing. After six days, she recovered enough to talk some, although there was still some confusion. Two days ago, she was moved to a rehab facility; her doctor proposes to call in hospice after she leaves rehab --- not because she's in imminent danger (he says) but to ensure closer medical supervision than she gets in assisted living. From what I find online, this seems to be sort of pre-dissection, and I'm assuming that we can expect another hematoma or a full dissection in the future. At her age, I'm afraid it could be quite soon. Does anyone have any experience with this? Any information about recurrence or about survival after the first episode? Thank you.

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I found this for you. Hope it helps?


Aortic Intramural Hematoma


The aorta is the largest artery in the body. It rises from the heart's left ventricle (the major chamber that pumps blood out of the heart) and is filled with oxygen-rich blood that travels throughout the body.

Aortic intramural hematoma (IMH) is a condition characterized by blood leaking through the innermost layer of the aortic wall and flowing between the inner and outer walls. This leakage does not occur due to a tear in the aortic wall and, because of this, the condition has been difficult to diagnose until recently. Although the condition is similar to, and was once thought to be a type of aortic dissection, the medical community now considers aortic IMH to be a distinct condition because there is no tear in the aortic wall when the condition occurs.

Aortic IMH may cause additional conditions, such as poor blood supply to other organs, and it may occur anywhere within the aorta.


Good luck
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At 98, I would not expect your mother to live a lot longer with or without this problem. Don't hang your hopes on some procedure or pill....she's 98....and probably ready to go.

Just ask her cardio doc for the truth.
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