title: [Emergency management of type A aortic dissection in the acute rupture phase with pericardial tamponade].
abstract: A case of successful operative repair of a previously unknown aortic dissection type A after intrapericardial rupture is presented. Under resuscitative measures an inferior pericardiotomy was done, followed by sternotomy to control bleeding under then stabilized circulation. Without detailed diagnostic evaluation, immediate operation with resection of the aneurysm and supracoronary prosthesis interposition was carried out. The diagnostic methods and problems, the differential diagnosis, and comparable cases from the literature are discussed.
authors: Herzchirurgische Klinik, Zentralklinikum Augsburg.
authors: H
authors: H
authors: Kuttler
authors: S
authors: S
authors: Fischer
authors: A
authors: A
authors: Larsen
authors: G
authors: G
authors: van Ingen
authors: E
authors: E
authors: Struck
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D012151:Resuscitation
chemical_list: D011093:Polyethylene Terephthalates
vernacular_title: Notfallmässige Versorgung einer Aortendissektion Typ A im Stadium der akuten Ruptur mit Perikardtamponade.