{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:02:15Z","timestamp":1781780535830,"version":"3.54.5"},"reference-count":3,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>From April 2011 to March 2020, 87 patients with type A intramural haematoma and acute aortic dissection with thrombosed false lumen of the ascending aorta were treated at Kitasato University Hospital. The initial watch-and-wait strategy without emergency aortic repair was taken in 52 cases in which the maximum aortic diameter was \u226450\u2009mm, pain score on arrival at our hospital was \u22643\/10 on the numerical rating scale and there was no ulcer-like projection (ULP) in the ascending aorta. Eleven patients who fulfilled the criteria but developed cardiac tamponade underwent emergency pericardial drainage without aortic repair. Among these 11 patients, 3 patients developed an aortic event during the hospitalization; 1 patient developed enlargement of the ULP 18\u2009days later but refused surgery, another patient developed rupture of the dissected brachiocephalic artery 4\u2009days later and underwent emergency repair of the ascending aorta and the brachiocephalic artery and the other patient developed a new ULP in the ascending aorta 14\u2009days later and underwent aortic repair. All 11 patients were discharged home. During follow-up (3.0\u2009\u00b1\u20092.4\u2009years), 1 patient developed a recurrent type A acute aortic dissection and underwent emergency aortic repair 29\u2009months later. There was no aorta-related death.<\/jats:p>","DOI":"10.1093\/icvts\/ivab014","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T09:33:33Z","timestamp":1610616813000},"page":"953-955","source":"Crossref","is-referenced-by-count":6,"title":["Emergency pericardial drainage without aortic repair for type A intramural haematoma complicated by cardiac tamponade"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0552-2727","authenticated-orcid":false,"given":"Tadashi","family":"Kitamura","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Kitasato University School of Medicine, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kagami","family":"Miyaji","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kitasato University School of Medicine, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"2021052808395536200_ivab014-B1","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC)","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur Heart J"},{"key":"2021052808395536200_ivab014-B2","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1253\/circj.CJ-66-0057","article-title":"Guidelines for diagnosis and treatment of aortic aneurysm and aortic dissection (JCS 2011)","volume":"77","year":"2013","journal-title":"Circ J"},{"key":"2021052808395536200_ivab014-B3","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1093\/ejcts\/ezaa080","article-title":"Watch-and-wait strategy for type A intramural haematoma and acute aortic dissection with thrombosed false lumen of the ascending aorta: a Japanese single-centre experience","volume":"58","author":"Kitamura","year":"2020","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/icvts\/article-pdf\/32\/6\/953\/38338274\/ivab014.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/icvts\/article-pdf\/32\/6\/953\/38338274\/ivab014.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T08:42:12Z","timestamp":1622191332000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/32\/6\/953\/6140015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,17]]},"references-count":3,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,2,17]]},"published-print":{"date-parts":[[2021,5,27]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivab014","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,6,1]]},"published":{"date-parts":[[2021,2,17]]}}}