Acute Stanford type B dissection and cardiac tamponade: rupture from around ductus arteriosus.
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.
Imanaka
Kazuhito
K
Department of Cardiovascular Surgery, Saitama Medical School, Saitama, Japan. imanakaz@saitamamed.ac.jp
Matsuoka
Takahiro
T
Abe
Keiko
K
Nishimura
Motonobu
M
Kyo
Shunei
S
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