Congenital pericardial defect associated with ruptured type A aortic dissection.
Congenital pericardial defect is a rare and little-known anomaly. Here we describe the unique clinical presentation of a 64-year-old man with partial defect of the left pericardium associated with ruptured acute type A aortic dissection manifesting massive left hemothorax. In this patient, the pericardial defect played the role of a pericardial draining window, which incidentally prevented the heart from cardiac tamponade. Emergent surgery was successfully performed with a prosthetic graft replacement.
Division of Cardiovascular Surgery, Department of Surgery, Tottori University School of Medicine, Tottori, Japan. amc-matsud@clubaa.com
Naruto
N
Matsuda
Akira
A
Marumoto
Hideki
H
Nakashima
Yoshinobu
Y
Nakamura
Satoshi
S
Kamihira
Shingo
S
Ishiguro
Shigetsugu
S
Ohgi
D000784:Aortic Dissection / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications*; D001019:Aortic Rupture / Q000150:complications*; D006491:Hemothorax / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000002:abnormalities* / Q000601:surgery