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Successful Conservative Treatment of a Type A Aortic Intramural Hematoma

Dimitrios Vlastos1, Francisco Fernandes1, Ishaansinh Chauhan1

  • 1Royal Brompton Hospital, London, United Kingdom.

JACC. Case Reports
|July 28, 2021
PubMed

Type A intramural hematoma (IMH) constitutes a variant of acute aortic syndrome. Western guidelines support an aggressive surgical approach, whereas Asian centers propose initial conservative treatment. Further expanding on this notion, we present a case of conservative subacute type A IMH management, resulting in radical hematoma resorption within 4 weeks. (Level of Difficulty: Beginner.).

Keywords:
AD, aortic dissectionCTA, computational tomography angiographyHTN, hypertensionIMH, intramural hematomaIRAD, International Registry of Acute Aortic DissectionMDT, multidisciplinary teamTAA, thoracic aortic aneurysmanti-impulse treatmentaortic dissectionintramural hematoma

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