title: [Atypical clinical course of thoracic aortic dissection with subacute pericardial hemorrhage].
abstract: A case of dissecting aortic aneurysm is reported which occurred without significant pain but was complicated by a subacute pericardial bleeding leading to a large pericardial effusion. The patient was hospitalized because of clinical signs of cardiac tamponade which could be alleviated by pericardiocentesis. Neither 2D-echocardiography nor a portable x-ray of the chest disclosed evidence of aortic dissection. After a symptom-free interval of several hours the patient died because of recurring intractable pericardial tamponade. The differential diagnosis of a large hemorrhagic pericardial effusion should include rupture of a dissecting aortic aneurysm even when typical symptoms are lacking.
authors.affiliation: II. Interne Abteilung und Abteilung für Pathologie, A.ö.Krankenhaus, Wels.
authors.forename: C
authors.initials: C
authors.lastname: Punzengruber
authors.forename: O
authors.initials: O
authors.lastname: Pachinger
authors.forename: A
authors.initials: A
authors.lastname: Haidenthaler
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000473:pathology; D001013:Aorta, Thoracic / Q000473:pathology; D001014:Aortic Aneurysm / Q000150:complications* / Q000473:pathology; D001019:Aortic Rupture / Q000150:complications* / Q000473:pathology; D002305:Cardiac Tamponade / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000473:pathology*
vernacular_title: Atypischer klinischer Verlauf einer thorakalen Aortendissektion mit subakuter Perikardblutung.