{"id":"https://openalex.org/W1980243121","doi":"https://doi.org/10.1161/01.cir.92.6.1465","title":"Intramural Hemorrhage of the Thoracic Aorta","display_name":"Intramural Hemorrhage of the Thoracic Aorta","publication_year":1995,"publication_date":"1995-09-15","ids":{"openalex":"https://openalex.org/W1980243121","doi":"https://doi.org/10.1161/01.cir.92.6.1465","mag":"1980243121","pmid":"https://pubmed.ncbi.nlm.nih.gov/7664428"},"language":"en","primary_location":{"id":"doi:10.1161/01.cir.92.6.1465","doi":"https://doi.org/10.1161/01.cir.92.6.1465","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.cir.92.6.1465","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046797391","display_name":"Christoph Anton Nienaber","orcid":"https://orcid.org/0000-0001-9671-8030","observed_orcids":["https://orcid.org/0000-0001-9671-8030"]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Christoph A. Nienaber","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006272403","display_name":"Yskert Von Kodolitsch","orcid":"https://orcid.org/0000-0001-5096-8421","observed_orcids":["https://orcid.org/0000-0001-5096-8421"]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Yskert von Kodolitsch","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112088777","display_name":"Ben Petersen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Ben Petersen","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078124725","display_name":"Roger Loose","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Roger Loose","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111501280","display_name":"Udo M. Helmchen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Udo Helmchen","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109839319","display_name":"Axel Haverich","orcid":"https://orcid.org/0000-0002-0991-2650","observed_orcids":["https://orcid.org/0000-0002-0991-2650"]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Axel Haverich","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111669796","display_name":"Rolf Peter Spielmann","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32021983","display_name":"Christian-Albrechts-Universit\u00e4t zu Kiel","ror":"https://ror.org/04v76ef78","country_code":"DE","type":"education","lineage":["https://openalex.org/I32021983"]},{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Rolf P. Spielmann","raw_affiliation_strings":["From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Internal Medicine, Division of Cardiology, and Departments of Diagnostic Radiology (R.P.S.) and Human Pathology (U.H.), University Hospital Eppendorf, Hamburg, and the Department of Cardiovascular Surgery (R.L., A.H.), Christian-Albrechts-University, Kiel, Germany","institution_ids":["https://openalex.org/I32021983","https://openalex.org/I4210108711"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":17.0094,"has_fulltext":false,"cited_by_count":502,"citation_normalized_percentile":{"value":0.99464075,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"92","issue":"6","first_page":"1465","last_page":"1472"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13657","display_name":"Aortic Thrombus and Embolism","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11310","display_name":"Connective tissue disorders research","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intramural-hematoma","display_name":"intramural hematoma","score":0.9850000143051147},{"id":"https://openalex.org/keywords/thoracic-aorta","display_name":"thoracic aorta","score":0.9959999918937683},{"id":"https://openalex.org/keywords/aortic-dissection","display_name":"aortic dissection","score":0.8360000252723694},{"id":"https://openalex.org/keywords/aortic-rupture","display_name":"aortic rupture","score":0.6240000128746033},{"id":"https://openalex.org/keywords/aortic-regurgitation","display_name":"aortic regurgitation","score":0.7279999852180481},{"id":"https://openalex.org/keywords/pericardial-effusion","display_name":"pericardial effusion","score":0.8149999976158142},{"id":"https://openalex.org/keywords/aortic-syndrome","display_name":"aortic syndrome","score":0.4230000078678131},{"id":"https://openalex.org/keywords/magnetic-resonance-imaging","display_name":"magnetic resonance imaging","score":0.5220000147819519},{"id":"https://openalex.org/keywords/contrast-enhanced-computed-tomography","display_name":"contrast-enhanced CT","score":0.9160000085830688},{"id":"https://openalex.org/keywords/transesophageal-echocardiography","display_name":"transesophageal echocardiography","score":0.984000027179718},{"id":"https://openalex.org/keywords/30-day-mortality","display_name":"30-day mortality","score":0.7039999961853027},{"id":"https://openalex.org/keywords/marfan-syndrome","display_name":"Marfan syndrome","score":0.675000011920929},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.8889999985694885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9812794923782349},{"id":"https://openalex.org/C2779993142","wikidata":"https://www.wikidata.org/wiki/Q594660","display_name":"Aortic dissection","level":3,"score":0.7120352983474731},{"id":"https://openalex.org/C2778249958","wikidata":"https://www.wikidata.org/wiki/Q2349469","display_name":"Ascending aorta","level":3,"score":0.6378493309020996},{"id":"https://openalex.org/C2781175549","wikidata":"https://www.wikidata.org/wiki/Q1306218","display_name":"Pericardial effusion","level":2,"score":0.6174821853637695},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5702065229415894},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.5548158288002014},{"id":"https://openalex.org/C2781288737","wikidata":"https://www.wikidata.org/wiki/Q4677913","display_name":"Acute aortic syndrome","level":4,"score":0.5526571273803711},{"id":"https://openalex.org/C2776864027","wikidata":"https://www.wikidata.org/wiki/Q615993","display_name":"Thoracic aorta","level":3,"score":0.5418160557746887},{"id":"https://openalex.org/C2781285907","wikidata":"https://www.wikidata.org/wiki/Q616032","display_name":"Aortic arch","level":3,"score":0.4763113260269165},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.4719116985797882},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.466633141040802},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.4522380232810974},{"id":"https://openalex.org/C2780663194","wikidata":"https://www.wikidata.org/wiki/Q3270170","display_name":"Descending aorta","level":3,"score":0.4510658085346222},{"id":"https://openalex.org/C2778745619","wikidata":"https://www.wikidata.org/wiki/Q16918965","display_name":"Aortic rupture","level":4,"score":0.4432953894138336},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.42440056800842285},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.40909653902053833},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.34520184993743896}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001013","descriptor_name":"Aorta, Thoracic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001018","descriptor_name":"Aortic Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D001018","descriptor_name":"Aortic Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D001018","descriptor_name":"Aortic Diseases","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006470","descriptor_name":"Hemorrhage","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006470","descriptor_name":"Hemorrhage","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006470","descriptor_name":"Hemorrhage","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014456","descriptor_name":"Ulcer","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D017548","descriptor_name":"Echocardiography, Transesophageal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1161/01.cir.92.6.1465","doi":"https://doi.org/10.1161/01.cir.92.6.1465","is_oa":false,"landing_page_url":"https://doi.org/10.1161/01.cir.92.6.1465","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},{"id":"pmid:7664428","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/7664428","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"Clinical Trial"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W8120957","https://openalex.org/W96607512","https://openalex.org/W151001715","https://openalex.org/W1972862844","https://openalex.org/W1980257408","https://openalex.org/W1992596289","https://openalex.org/W2002412603","https://openalex.org/W2002720503","https://openalex.org/W2004142401","https://openalex.org/W2007242485","https://openalex.org/W2008491570","https://openalex.org/W2014122989","https://openalex.org/W2021414818","https://openalex.org/W2021516862","https://openalex.org/W2028949094","https://openalex.org/W2038808869","https://openalex.org/W2041237182","https://openalex.org/W2041759954","https://openalex.org/W2042281041","https://openalex.org/W2043215158","https://openalex.org/W2049500442","https://openalex.org/W2049715087","https://openalex.org/W2051467871","https://openalex.org/W2061296563","https://openalex.org/W2064260678","https://openalex.org/W2065443362","https://openalex.org/W2065623089","https://openalex.org/W2070238043","https://openalex.org/W2074673068","https://openalex.org/W2077027556","https://openalex.org/W2080369750","https://openalex.org/W2115120328","https://openalex.org/W2159188028","https://openalex.org/W2316080658","https://openalex.org/W2327592804","https://openalex.org/W2335913274","https://openalex.org/W2429096858","https://openalex.org/W2431056778","https://openalex.org/W4297115015"],"related_works":["https://openalex.org/W2004956568","https://openalex.org/W2004595625","https://openalex.org/W8120957","https://openalex.org/W2134117327","https://openalex.org/W2169154540","https://openalex.org/W2042768976","https://openalex.org/W2462939648","https://openalex.org/W2115031935","https://openalex.org/W2084656355","https://openalex.org/W1990970292"],"abstract_inverted_index":{"BACKGROUND:":[0],"Intramural":[1],"hemorrhage":[2],"(IMH)":[3],"was":[4,166,175,182,233,315,392,399],"recently":[5],"identified":[6],"at":[7],"necropsy":[8],"and":[9,20,38,47,134,147,172,210,240,251,253,268,325,409,424,433,447,453],"anecdotally":[10],"in":[11,140,168,177,200,207,216,238,245,258,288,332,354,367],"vivo":[12],"as":[13,27],"a":[14,70,108,151,444],"unique":[15],"aortic":[16,29,59,90,205,246,364,462],"syndrome":[17,174],"(without":[18],"entry":[19],"with":[21,55,89,104,150,226,264,274,321,335,377,389,406,415,443,484],"no":[22,105,330],"flap-like":[23],"intraluminal":[24],"component,":[25],"such":[26],"overt":[28,114,281,461],"dissection).":[30],"However,":[31],"little":[32],"is":[33,441],"known":[34],"about":[35],"diagnosis,":[36],"prognosis,":[37],"outcome":[39,474],"of":[40,58,72,77,100,107,154,187,260,270,290,309,318,346,362,371,374,412,431,460,471,475,477],"IMH.":[41,277,472],"METHODS":[42],"AND":[43],"RESULTS:":[44],"Between":[45],"1983":[46],"1993,":[48],"360":[49],"patients":[50,88,93,179,262,272,292,349,405,414],"from":[51,395],"two":[52],"medical":[53,322,356,378,390,407,423],"centers":[54],"clinical":[56,445],"indications":[57],"dissection":[60,115,452],"were":[61,95,144,222,256,350],"prospectively":[62],"evaluated;":[63],"they":[64],"presented":[65],"to":[66,97,161,280,296,383,450],"the":[67,101,169,195,204,211,300,312,355,363,384,478],"emergency":[68],"department":[69],"median":[71,152],"3.5":[73],"hours":[74],"after":[75,342],"onset":[76],"back":[78],"or":[79,82,113],"chest":[80],"pain":[81],"other":[83],"suggestive":[84],"symptoms.":[85],"Among":[86],"195":[87],"syndromes,":[91],"25":[92,291],"(12.8%)":[94],"diagnosed":[96,183],"have":[98],"IMH":[99,181,193,232,267,278,310,361,381,440,476],"thoracic":[102,386],"aorta":[103,197,213,314,480],"evidence":[106],"primary":[109],"intimal":[110],"tear,":[111],"flap,":[112],"by":[116,224],"multiple":[117],"noninvasive":[118,465],"imaging":[119,124,220,466],"modalities,":[120],"including":[121],"magnetic":[122],"resonance":[123],"(n":[125,131,137],"=":[126,132,138,418,437],"12),":[127],"contrast-enhanced":[128],"computed":[129],"tomography":[130],"14),":[133],"transesophageal":[135],"echocardiography":[136],"3)":[139],"random":[141],"order.":[142],"There":[143],"16":[145],"men":[146],"9":[148],"women":[149],"age":[153],"56":[155],"+/-":[156,235,242],"13":[157],"years":[158],"(range,":[159],"15":[160],"80":[162],"years).":[163],"Arterial":[164],"hypertension":[165],"present":[167,176,257],"majority":[170],"(84%),":[171],"Marfan's":[173],"3":[178],"(12%).":[180],"within":[184,294],"4":[185],"days":[186],"hospital":[188],"admission":[189],"(median,":[190],"2.5":[191],"hours).":[192],"involved":[194],"ascending":[196,313,479],"(type":[198,214],"A)":[199],"12":[201,261],"cases":[202,218,334],"(48%),":[203],"arch":[206,365],"2":[208,269,375],"(8%),":[209],"descending":[212,385],"B)":[215],"11":[217,271],"(44%);":[219],"results":[221],"validated":[223],"crossmatching":[225],"intraoperative,":[227],"pathomorphological,":[228],"and/or":[229,284],"angiographic":[230],"findings.":[231],"8.5":[234],"5":[236,259,319,413],"cm":[237,244],"length":[239],"2.0":[241],"1.2":[243],"wall":[247],"thickness.":[248],"Aortic":[249],"regurgitation":[250],"pericardial":[252],"mediastinal":[254],"effusion":[255],"(42%)":[263],"type":[265,275],"A":[266],"(18%)":[273],"B":[276],"progression":[279],"dissection,":[282],"rupture,":[283],"acute":[285],"tamponade":[286],"occurred":[287],"8":[289],"(32%)":[293],"24":[295],"72":[297],"hours,":[298],"indicating":[299],"need":[301],"for":[302],"urgent":[303],"intervention.":[304],"The":[305,473],"30-day":[306],"mortality":[307,331,370],"rate":[308],"afflicting":[311],"80%":[316,432],"(4":[317],"cases)":[320],"treatment":[323,391],"(sedation":[324],"blood":[326],"pressure":[327],"control)":[328],"versus":[329,352],"7":[333],"early":[336,369,401],"surgical":[337,396,425,486],"repair":[338],"(P":[339,358,417,436],"<":[340,359],".01);":[341],"1":[343,400],"year,":[344],"71.4%":[345],"surgically":[347],"treated":[348],"alive":[351],"20%":[353],"group":[357],".05).":[360],"resulted":[366],"an":[368,457],"50%":[372],"(1":[373],"patients)":[376],"treatment.":[379],"In":[380],"confined":[382],"aorta,":[387],"survival":[388,429],"not":[393],"different":[394],"therapy;":[397],"there":[398],"death":[402],"among":[403],"6":[404],"therapy":[408,426],"none":[410],"out":[411],"surgery":[416],"NS).":[419,438],"At":[420],"1-year":[421],"follow-up,":[422],"groups":[427],"had":[428],"rates":[430],"83%,":[434],"respectively":[435],"CONCLUSIONS:":[439],"associated":[442],"profile":[446],"prognosis":[448],"similar":[449],"classic":[451],"may":[454],"be":[455],"considered":[456],"ominous":[458],"precursor":[459],"dissection.":[463],"Tomographic":[464],"ensures":[467],"rapid,":[468],"nontraumatic":[469],"diagnosis":[470],"appears":[481],"favorable":[482],"only":[483],"immediate":[485],"repair.":[487]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":12},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":9},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":15},{"year":2015,"cited_by_count":9},{"year":2014,"cited_by_count":17},{"year":2013,"cited_by_count":19},{"year":2012,"cited_by_count":14}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}