title: Aortic dissection and pericardial tamponade causing compression of the pulmonary arteries in a patient with prior cardiac surgery.
abstract: A patient with prior aortic valve surgery presented with aortic dissection and pericardial tamponade, with subsequent compression of the pulmonary arteries. While both expanding pericardial effusions and aortic dissections have been reported to cause compression of other adjacent structures, compression of the pulmonary artery vasculature in a patient with prior cardiac surgery has never been described. In this case report, we highlight this situation, which may have occurred because of alterations in the pericardial and mediastinal spaces.
authors: Department of Medicine, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. szakari2@jhmi.edu
authors: Sammy
authors: S
authors: Zakaria
authors: Dipan
authors: D
authors: Desai
authors: Jean
authors: J
authors: Jeudy
authors: Eric M
authors: EM
authors: Thorn
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D002305:Cardiac Tamponade / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods