Biatrial compression caused by intrapericardial hematoma secondary to ruptured type I acute aortic dissection following aortic valve replacement.
Ruptured aortic dissection after aortic valve replacement (AVR) is uncommon and rarely diagnosed premortem. We report a patient with a ruptured type I aortic dissection and biatrial tamponade 2 months after AVR caused by loculated intrapericardial hematoma. The diagnosis was made by transthoracic echocardiography and confirmed at operation.
Department of Cardiology, Yuksek Ihtisas Hospital, Ankara, Turkey. ozcanozeke@hotmail.com
Ozcan
O
Ozeke
Okan
O
Yurdakok
Omer
O
Alyan
Aslihan A
AA
Kucuker
Ugursay
U
Kiziltepe
D000368:Aged; D000784:Aortic Dissection / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D004452:Echocardiography; D017809:Fatal Outcome; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D010496:Pericardium / Q000000981:diagnostic imaging