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Updated: Feb 10, 2026

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
[Type A intramural hematoma of aorta: An undervalued clinical entity]
M Paolucci1, H Van Damme1, E Boesmans1
1Service de chirurgie cardiovasculaire et thoracique, CHU Sart Tilman, avenue de L'Hôpital 1, 4000 Liège, Belgique.
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.
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