Keywords :
Acute aortic syndrome; Aorte ascendante; Ascending aorta; Hématome intramural aortique; Intramural aortic hematoma; Syndrome aortique aigu; Aged; Aortic Diseases/diagnosis; Aortic Diseases/surgery; Female; Hematoma/diagnosis; Hematoma/surgery; Humans; Rupture, Spontaneous/complications; Tomography, X-Ray Computed; Vasa Vasorum/injuries; Aorta; Aortic Diseases; Hematoma; Rupture, Spontaneous; Vasa Vasorum; Cardiology and Cardiovascular Medicine
Abstract :
[en] 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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