Complete left-sided absence of the pericardium in association with buptured type A aortic dissection complicated by severe left hemothorax
Küçük Resim Yok
Tarih
2005
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Texas Heart Inst
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We report an unusual clinical presentation of an acute type A aortic dissection as a left hemothorax in a patient with a congenital pericardial defect. Although the pericardial defect was diagnosed preoperatively, we could not exclude the possibility of a ruptured descending aorta until we discovered the site of the rupture during operation. The presence of a pericardial defect would at first appear to be a fatal disadvantage in such a situation as this, due to massive bleeding into the pleural space; but we believe that in our patient spontaneous drainage of blood into the pleural cavity prevented severe cardiac tamponade. The only reason for his deteriorating hemodynamic status was hypovolemia, which was corrected with volume replacement.
Açıklama
Anahtar Kelimeler
aneurysm, dissecting, aortic aneurysm, thoracic, aortic rupture/surgery, cardiac tamponade, diagnosis, differential, hemothorax/etiology, pericardial effusion/pericardium/abnormalities
Kaynak
Texas Heart Institute Journal
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
32
Sayı
2
