{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:01:24Z","timestamp":1753884084508,"version":"3.28.0"},"reference-count":28,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>Acute aortic syndrome encompasses classic aortic dissection and less common aortic phenomena, including intramural hematoma (IMH), a hemorrhage within the aortic media that occurs without a discrete intimal tear. We reviewed our experience with treating acute type A IMH to better understand this acute aortic syndrome. A review of our clinical database identified 1,902 proximal aortic repairs that were performed from January 2006 through December 2018; of these, 266 were for acute aortic syndrome, including 3 (1.1%) for acute type A IMH. Operative technique varied considerably. All IMH repairs involved hemiarch or total arch replacement. In all 3 patients, the IMH extended distally into the descending thoracic aorta. There were no operative deaths or major adverse events (stroke, paraplegia, paraparesis, or renal failure necessitating dialysis) that persisted to hospital discharge. Length of hospitalization ranged from 5 to 20 days. All 3 patients were alive at follow-up (range, 2\u20136 yr) and needed no aortic reintervention after their index or staged repairs. In our experience, repair of acute type A IMH was infrequent and could be either simple or complex. Despite our limited experience with this disease, we found that it can be repaired successfully in urgent and emergency cases. Following treatment guidelines for aortic dissection appears to be a reasonable strategy for treating IMH.<\/jats:p>","DOI":"10.14503\/thij-20-7242","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T23:30:06Z","timestamp":1611185406000},"page":"290-297","source":"Crossref","is-referenced-by-count":1,"title":["Open Repair of Acute Type A Intramural Hematoma in 3 Patients"],"prefix":"10.14503","volume":"47","author":[{"given":"William C.","family":"Frankel","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Baylor College of Medicine; Houston, Texas 77030"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Weldon","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Baylor College of Medicine; Houston, Texas 77030"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Y.","family":"Green","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Baylor College of Medicine; Houston, Texas 77030"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiruni S.","family":"Amarasekara","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Baylor College of Medicine; Houston, Texas 77030"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"LeMaire","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Baylor College of Medicine; Houston, Texas 77030"},{"name":"Michael E. DeBakey Department of Surgery, Baylor College of Medicine; Section of Adult Cardiac Surgery, Baylor College of Medicine; Houston, Texas 77030"},{"name":"Department of Cardiovascular Surgery, Texas Heart Institute and CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center; and Cardiovascular Research Institute, Baylor College of Medicine; Houston, Texas 77030"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S.","family":"Coselli","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Baylor College of Medicine; Houston, Texas 77030"},{"name":"Michael E. DeBakey Department of Surgery, Baylor College of Medicine; Section of Adult Cardiac Surgery, Baylor College of Medicine; Houston, Texas 77030"},{"name":"Department of Cardiovascular Surgery, Texas Heart Institute and CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center; and Cardiovascular Research Institute, Baylor College of Medicine; Houston, Texas 77030"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"1","key":"i1526-6702-47-4-290-b1","series-title":"Eur Heart J","first-page":"26","article-title":"Management of acute aortic syndromes","volume":"33","year":"2012","unstructured":"Nienaber\n              CA,\n            \n            \n              Powell\n              JT.\n            \n          \n          Management of acute aortic syndromes.\n\t\t\t\t\tEur Heart J2012;33(1):26\u201335b."},{"issue":"9","key":"i1526-6702-47-4-290-b2","series-title":"Eur Heart J","first-page":"739","article-title":"Acute aortic syndromes: 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