{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T18:41:24Z","timestamp":1759430484996,"version":"build-2065373602"},"reference-count":12,"publisher":"IMR Press","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<p>A patient presented with recurrent syncope due to transient severe hypotension. The patient's history, physical examination, and initial baseline investigation did not suggest a cardiovascular cause. After fluid resuscitation, a raised jugular venous pulse was noted. Bedside transthoracic echocardiogram showed a pericardial effusion and a proximally dilated aorta. Computed tomography of the thorax confirmed these findings and also demonstrated an intramural hematoma of the proximal aortic wall.<\/p><p>The patient was transferred to a cardiothoracic center, where he was at first treated medically. He then developed sudden cardiogenic shock due to pericardial tamponade and was successfully operated on.<\/p><p>It is important to recognize an acute intramural hematoma of the proximal aortic wall as a cardiothoracic emergency. This condition can present atypically, but nevertheless warrants urgent surgical intervention, equal to type A aortic dissection. Echocardiography can help in making the diagnosis.<\/p><\/jats:p>","DOI":"10.1532\/hsf98.20121014","type":"journal-article","created":{"date-parts":[[2012,10,23]],"date-time":"2012-10-23T21:09:42Z","timestamp":1351026582000},"page":"286","source":"Crossref","is-referenced-by-count":1,"title":["Acute Aortic Intramural Hematoma Presenting with Painless Recurrent Syncope"],"prefix":"10.31083","volume":"15","author":[{"given":"Jan","family":"Droste","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidar Zafarani","family":"Zadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Arif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Craig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A K","family":"Thakur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2012,10,23]]},"reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.annemergmed.2011.04.016","article-title":"Evidence-based emergency medicind. 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Nallamothu","year":"2002","journal-title":"Am J Med"},{"key":"8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1093\/eurheartj\/ehr186","article-title":"Management of acute aortic syndromes","volume":"33","author":"C. Nienhaber","year":"2012","journal-title":"Eur Heart J"},{"key":"9","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajem.2009.04.015","article-title":"Painless acute aortic dissection presenting as intermittent syncope","volume":"28","author":"Y. Shen","year":"2010","journal-title":"Am J Emerg Med"},{"key":"10","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1007\/s00059-011-3501-0","article-title":"Aortic intramural hematoma: aspects of pathogenesis 2011. 2011","volume":"36","author":"J. Song","year":"2011","journal-title":"Herz"},{"key":"11","first-page":"1130","article-title":"Acute aortic syndrome: a new look at an old conundrum","volume":"95","author":"I. Vilacosta","year":"2009","journal-title":"Heart"},{"key":"12","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1055\/s-0030-1270761","article-title":"Early aggressive medical treatment associated with selective aortic stent-grafting for aortic intramural hematoma","volume":"59","author":"G. Zhang","year":"2011","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["The Heart Surgery Forum"],"original-title":[],"link":[{"URL":"http:\/\/journal.hsforum.com\/index.php\/HSF\/article\/viewFile\/493\/495","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T18:22:32Z","timestamp":1759429352000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/HSF\/15\/5\/10.1532\/HSF98.20121014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,23]]},"references-count":12,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2012,10,1]]}},"URL":"https:\/\/doi.org\/10.1532\/hsf98.20121014","relation":{},"ISSN":["1522-6662","1098-3511"],"issn-type":[{"type":"electronic","value":"1522-6662"},{"type":"print","value":"1098-3511"}],"subject":[],"published":{"date-parts":[[2012,10,23]]}}}