{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:24:04Z","timestamp":1787772244964,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Aortic intramural hematoma (IMH) is characterized by an aortic wall hematoma without intimal flap and it is a variant of acute aortic syndromes (AAS). This entity may represent 10%\u201325% of the AAS involving the ascending aorta and aortic arch (Stanford Type A) in 10%\u201330% of cases and the descending thoracic aorta (Stanford Type B) in 60%\u201370% of cases. IMH impairs the aortic wall and may progress to either inward disruption of the intima, which finally induces typical dissection or outward rupture of the aorta. The literature describes some clinical reports where Type A aortic dissection mimics a pulmonary embolism but is not described as a case provoked by IMH with outward rupture of the aorta.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_77_23","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T04:00:09Z","timestamp":1714363209000},"page":"32-34","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A Case Report of an Unusual Acute Intramural Hematoma Disguise as Pulmonary Embolism"],"prefix":"10.4103","volume":"34","author":[{"given":"Marco","family":"Dell\u2019Uomo","sequence":"first","affiliation":[{"name":"Complex Structure of Cardiology, Santa Maria Hospital of Terni, University of Perugia, Terni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serenella","family":"Conti","sequence":"additional","affiliation":[{"name":"Complex Structure of Cardiology, Santa Maria Hospital of Terni, University of Perugia, Terni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Di Meo","sequence":"additional","affiliation":[{"name":"Complex Structure of Cardiology, Santa Maria Hospital of Terni, University of Perugia, Terni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Dominici","sequence":"additional","affiliation":[{"name":"Complex Structure of Cardiology, Santa Maria Hospital of Terni, University of Perugia, Terni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentino","family":"Borghetti","sequence":"additional","affiliation":[{"name":"Complex Structure of Heart Surgery, Santa Maria Hospital of Terni, Terni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"R1-20240904","doi-asserted-by":"crossref","first-page":"3802","DOI":"10.1161\/CIRCULATIONAHA.105.534198","article-title":"Acute aortic syndromes","volume":"112","author":"Tsai","year":"2005","journal-title":"Circulation"},{"key":"R2-20240904","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1002\/emp2.12026","article-title":"Type A aortic dissection mimicking saddle pulmonary embolism on CT imaging","volume":"1","author":"Chong","year":"2020","journal-title":"J Am Coll Emerg Physicians Open"},{"key":"R3-20240904","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1186\/s13019-014-0180-y","article-title":"A case study of pulmonary embolism from the right atrial shunt after acute Type A aortic dissection surgery","volume":"9","author":"Yang","year":"2014","journal-title":"J Cardiothorac Surg"},{"key":"R4-20240904","doi-asserted-by":"crossref","first-page":"831","DOI":"10.4103\/1119-3077.181355","article-title":"High-risk pulmonary embolism in a patient with acute dissecting aortic aneurysm","volume":"19","author":"Tudoran","year":"2016","journal-title":"Niger J Clin Pract"},{"key":"R5-20240904","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s40560-018-0287-7","article-title":"Management of acute aortic dissection and thoracic aortic rupture","volume":"6","author":"Fukui","year":"2018","journal-title":"J Intensive Care"}],"container-title":["Journal of Cardiovascular Echography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_77_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:34:02Z","timestamp":1787769242000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_77_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jcecho.jcecho_77_23","relation":{},"ISSN":["2211-4122","2347-193X"],"issn-type":[{"value":"2211-4122","type":"print"},{"value":"2347-193X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-12-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}