ArticleJACC. Case reports2025
Medical Treatment or Surgery for Type A Intramural Hematoma?
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Type A Aortic Intramural Hematoma: Medical Treatment Alone or Surgery?JACC. Case reports · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundType A intramural hematoma (IMH) is a cardiovascular emergency with high mortality and morbidity rates. Emergency surgery remains the preferred management option. CASE SUMMARY: A 50-year-old woman was admitted with a chief complaint of chest pain and evidence of aortic dissection in transthoracic echocardiography. Computed tomographic angiography (CTA) showed IMH from the aortic root to the suprarenal arteries. In the absence of high mortality risk factors, medical treatment and follow-up studies were chosen for this patient. CTA was repeated at 3-month intervals for 1 year, and by the end of this period the IMH was completely resolved. WHY BEYOND THE GUIDELINES?: Guidelines recommend emergency surgical intervention for type A IMH. This report presents evidence of successful medical treatment for type A IMH. DISCUSSION: This case report showed that medical management with follow-up imaging studies can be considered as the first option in selected patients with type A IMH.
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