Successful Conservative Treatment of a Type A Aortic Intramural Hematoma

Abstract

Type A intramural hematoma (IMH) constitutes a variant of acute aortic syndrome. Western guidelines support an aggressive surgical approach, whereas Asian centers propose initial conservative treatment. Further expanding on this notion, we present a case of conservative subacute type A IMH management, resulting in radical hematoma resorption within 4 weeks. (Level of Difficulty: Beginner.)

Keywords

• anti-impulse treatment
• aortic dissection
• intramural hematoma