Cardiac tamponade by aortic dissection in a hospital without cardiothoracic surgery.
A 48-year-old male patient had arrest due to rupture of a dissecting aneurysm of the thoracic aorta into the pericardial cavity with tamponade; he received treatment in a general hospital lacking the facilities to practice heart surgery. The patient was treated by means of intermittent pericardial drainage while being transferred to another hospital at 100-km distance for surgical treatment.
García-Jiménez
A
A
Intensive Care Unit, Hospital, Arquitecto Marcide, El Ferrol, Spain.
Peraza Torres
A
A
Martínez López
G
G
Alvárez Diéguez
I
I
Botana Albá
C M
CM
D000784:Aortic Dissection / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications*; D001019:Aortic Rupture / Q000150:complications*; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D004322:Drainage; D006323:Heart Arrest / Q000209:etiology*; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008875:Middle Aged; D010360:Patient Transfer; D010490:Pericardial Effusion / Q000601:surgery