{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:40:21Z","timestamp":1756370421215,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,10]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>We present a case about a man in his 70s who was admitted to the emergency department, haemodynamically unstable and with complaints of chest pain and dyspnoea. A bedside transthoracic echocardiography showed enlargement of the aorta and pericardial effusion, and a subsequent CT of the aorta showed acute type A intramural haematoma (IMH). Emergency surgery was not possible due to comorbidities, and a wait-and-watch strategy (optimal medical therapy, with blood pressure and pain control and repetitive imaging) was selected. He was hospitalised for a total of 16 days, during which his condition stabilised. A 3-month follow-up CT showed complete regression of both the IMH and haemopericardium.<\/jats:p>","DOI":"10.1136\/bcr-2024-262250","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T20:05:21Z","timestamp":1740254721000},"page":"e262250","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term survival and rehabilitation of an inoperable patient with extensive type A aortic intramural haematoma, haemopericardium and haemomediastinum"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9272-0323","authenticated-orcid":false,"given":"Emma","family":"Illum","sequence":"first","affiliation":[{"name":"Cardiology, Odense Universitetshospital, Odense C, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lene H\u00fcche","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Cardiology, Odense Universitetshospital, Odense C, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stine Broch","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Radiology, Odense Universitetshospital, Odense C, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida Ransby","family":"Schneider","sequence":"additional","affiliation":[{"name":"Cardiology, Odense Universitetshospital, Odense C, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,22]]},"reference":[{"key":"2025082801260000000_18.2.e262250.1","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.118.004689","article-title":"Population-Based Assessment of the Incidence of Aortic Dissection, Intramural Hematoma, and Penetrating Ulcer, and Its Associated Mortality From 1995 to 2015","volume":"11","author":"DeMartino","year":"2018","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"2025082801260000000_18.2.e262250.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.10026"},{"key":"2025082801260000000_18.2.e262250.3","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000156444.26393.80"},{"key":"2025082801260000000_18.2.e262250.4","first-page":"602","article-title":"Diagnosis, management and mortality in acute aortic syndrome: results of the Spanish Registry of Acute Aortic Syndrome (RESA-II)","volume":"7","author":"Evangelista","year":"2018","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"key":"2025082801260000000_18.2.e262250.5","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S193967"},{"key":"2025082801260000000_18.2.e262250.6","doi-asserted-by":"crossref","first-page":"556","DOI":"10.21037\/acs.2019.07.04","article-title":"Uncomplicated type A intramural hematoma: surgery or conservative approach?-surgery","volume":"8","author":"Evangelista","year":"2019","journal-title":"Ann Cardiothorac Surg"},{"key":"2025082801260000000_18.2.e262250.7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.843615"},{"key":"2025082801260000000_18.2.e262250.8","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.879783"},{"key":"2025082801260000000_18.2.e262250.9","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jeq056"},{"key":"2025082801260000000_18.2.e262250.10","doi-asserted-by":"crossref","first-page":"R53","DOI":"10.1530\/ERP-18-0058","article-title":"The current role of echocardiography in acute aortic syndrome","volume":"6","author":"Evangelista","year":"2019","journal-title":"Echo Res Pract"},{"key":"2025082801260000000_18.2.e262250.11","first-page":"409","article-title":"Role of echocardiography in the diagnosis of acute aortic syndrome","volume":"58","author":"J\u00e1nosi","year":"2010","journal-title":"Minerva Cardioangiol"},{"key":"2025082801260000000_18.2.e262250.12","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1016\/j.jaccas.2020.05.051","article-title":"Successful Conservative Treatment of a Type A Aortic Intramural Hematoma","volume":"2","author":"Vlastos","year":"2020","journal-title":"JACC Case Rep"},{"key":"2025082801260000000_18.2.e262250.13","doi-asserted-by":"publisher","DOI":"10.1191\/1358863x02vm450cr"},{"key":"2025082801260000000_18.2.e262250.14","doi-asserted-by":"crossref","first-page":"524","DOI":"10.21037\/acs.2019.07.08","article-title":"Optimal timing of type A intramural hematoma repair","volume":"8","author":"Al Rstum","year":"2019","journal-title":"Ann Cardiothorac Surg"},{"key":"2025082801260000000_18.2.e262250.15","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1186\/1471-2261-14-103","article-title":"Treatment patterns and their outcomes of acute aortic intramural hematoma in real world: multicenter registry for aortic intramural hematoma","volume":"14","author":"Choi","year":"2014","journal-title":"BMC Cardiovasc Disord"},{"key":"2025082801260000000_18.2.e262250.16","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000052628.77047.EA"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:26:06Z","timestamp":1756369566000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,22]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1136\/bcr-2024-262250"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262250","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}