Chronic proximal aortic dissection presenting as tamponade after 16 years. Issue 2 (August 1987)

• Record Type: Journal Article
• Authors: Fraser, A G; Passani, S; Hayward, M W
• Is Part Of: Heart. Volume 58:Issue 2(1987)
• Page Start: 166
• Page End: 169
• Publication Date: 1987-08
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.58.2.166
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : A patient presented with tamponade and haemopericardium 16 years after experiencing sudden severe chest pain associated with enlargement of the proximal aorta. Investigations revealed a proximal aortic dissection (DeBakey type II) with extensive laminar and partially calcified thrombus within its false lumen and a large pericardial effusion, which together resulted in a cardiothoracic ratio of 100%. Long term survival after medical treatment of proximal aortic dissection, with such late progression to tamponade, has not been reported before.