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Watch-and-Wait Strategy for Type A Intramural Hematoma and Acute Aortic Dissection With Thrombosed False Lumen of the Ascending Aorta: A Japanese Single-Center Experience

Thursday, October 15, 2020

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Source Name: European Journal of Cardio-Thoracic Surgery


Tadashi Kitamura, Shinzo Torii, Takashi Miyamoto, Toshiaki Mishima, Hirotoki Ohkubo, Shunichiro Fujioka, Kazuki Yakuwa, Haruna Araki, Shin Kondo, Yoshimi Tamura, Yuki Tadokoro, Yoshihiko Onishi, Kagami Miyaji

Kitamura et al. present a single-center study looking into the outcomes of patients with acute type A intramural hematoma. Within their Japanese collective, patients showing an aortic diameter ≤ 50 mm, no ulcer-like projection, and a pain score of ≤ 3/10 had to be operated on in only 17% of cases, and had a low hospital mortality of 4%. They conclude a watch-and-wait strategy to be reasonable in this very specific patient cohort.

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