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J Med Vasc. 2018 May;43(3):206-212. doi: 10.1016/j.jdmv.2018.03.004. Epub 2018 Apr 11.

[Type A intramural hematoma of aorta: An undervalued clinical entity].

[Article in French]

Author information

1
Service de chirurgie cardiovasculaire et thoracique, CHU Sart Tilman, avenue de L'Hôpital 1, 4000 Liège, Belgique.
2
Service de chirurgie cardiovasculaire et thoracique, CHU Sart Tilman, avenue de L'Hôpital 1, 4000 Liège, Belgique. Electronic address: hvandamme@chu.ulg.ac.be.

Abstract

Intramural hematoma of the ascending aorta occurs after rupture of the vasa vasorum. Previously considered as a first step of acute aortic dissection, it was later defined as a separate entity that may or may not lead to arterial dissection. The debate about the most appropriate treatment for a 69-year-old patient with intramural hematoma of the ascending aorta, led to this extensive review of the literature demonstrating that intramural hematoma type A is a life-threatening condition requiring urgent surgical support.

KEYWORDS:

Acute aortic syndrome; Aorte ascendante; Ascending aorta; Hématome intramural aortique; Intramural aortic hematoma; Syndrome aortique aigu

PMID:
29754731
DOI:
10.1016/j.jdmv.2018.03.004
[Indexed for MEDLINE]

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