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Previous Volume 337:1476-1477 November 13, 1997 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The Image in Clinical Medicine presented by Harris and Rosenbloom (June 26 issue)¹ clearly illustrates the presentation and clinical consequences of a penetrating atheromatous ulcer in the descending aorta. Typically, the clinical presentation may closely mimic that of aortic dissection, but aortic imaging reveals no evidence of an intimal tear and circumferential hemorrhage into the media caused by a breach in the integrity of intima.²

This pathologic process is distinct from the process of intramural hemorrhage, which may precede frank dissection of the aorta.³ Hemorrhage within the wall of the aorta occurs in these cases despite a . . . [Full Text of this Article]

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