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Histone methylation in acute thoracic aortic syndromes and aortic aneurysm According to 2014 ESC guidelines on the diagnosis and treatment of aortic diseases, acute thoracic aortic syndromes (AASs) which include intramural hematoma (IMH), penetrating aortic ulcer (PAU), aortic dissection (AD), and thoracic aortic rupture are defined as emergency conditions with similar clinical characteristics involving the aorta [64]