title: [Ruptured proximal aorta after operation for type A dissection presenting as opacified left hemothorax; report of a case].
abstract: We report an unusual clinical presentation of ruptured proximal aorta as a left hemothorax after operation for type A dissection. A 74-year-old man who had undergone ascending aortic replacement for acute type A dissection 4 months previously developed a loss of consciousness followed by shock state. Both chest X-ray and computed tomography (CT) scan revealed opacified left hemothorax. The patient died during a diagnostic procedure. Post mortem examination showed rupture of proximal aortic dissection extended to the left pleural cavity path through the right atrial wall and the right ventricular wall.
authors.affiliation: Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Japan.
authors.forename: Jiro
authors.initials: J
authors.lastname: Honda
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
authors.forename: H
authors.initials: H
authors.lastname: Wada
authors.forename: A
authors.initials: A
authors.lastname: Hiramoto
authors.forename: K
authors.initials: K
authors.lastname: Kuroki
authors.forename: R
authors.initials: R
authors.lastname: Okeda
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000473:pathology; D017809:Fatal Outcome; D006491:Hemothorax / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed