title: Acute Stanford type B dissection and cardiac tamponade: rupture from around ductus arteriosus.
abstract: Pericardial tamponade is rarely associated with acute Stanford type B aortic dissection. We encountered this unusual combination in a 59-year-old patient. He underwent an emergency drainage procedure through a midline sternotomy. Operative findings strongly suggested that the dissected aorta ruptured into the pericardial cavity from around the ductus arteriosus. Clinicians should be aware that Stanford type B aortic dissection can cause pericardial tamponade.
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical School, Saitama, Japan. imanakaz@saitamamed.ac.jp
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Imanaka
authors.forename: Takahiro
authors.initials: T
authors.lastname: Matsuoka
authors.forename: Keiko
authors.initials: K
authors.lastname: Abe
authors.forename: Motonobu
authors.initials: M
authors.lastname: Nishimura
authors.forename: Shunei
authors.initials: S
authors.lastname: Kyo
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications*; D001019:Aortic Rupture / Q000209:etiology* / Q000601:surgery; D002305:Cardiac Tamponade / Q000209:etiology*; D004373:Ductus Arteriosus; D006801:Humans; D008297:Male; D008875:Middle Aged