Document Detail


Congenital pericardial defect with ruptured acute type A aortic dissection.
MedLine Citation:
PMID:  22843655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report 2 cases of congenital pericardial defect with ruptured acute type A aortic dissection. Case 1: An 83-year old man presented with sudden chest and back pain, and computed tomography (CT) showed acute aortic dissection with left pleural massive effusion. Because of his unstable haemodynamic condition with low blood pressure, an emergency operation was performed. We observed small amounts of bloody pericardial effusion, massive left-sided bloody pleural effusion and a partial left-sided pericardial defect of the pulmonary artery. The ascending aorta was replaced. The postoperative course was uneventful. Case 2: A 79-year old man presented with fainting followed by cardiac arrest and was resuscitated. Chest CT showed acute aortic dissection and massive haemothorax. Emergency operation was attempted, but was given up. We observed partial left-sided pericardial defect of the pulmonary artery. Further, we reviewed 6 cases of congenital pericardial defect with ruptured acute aortic dissection, including our 2 cases. In all the cases, the patients did not develop cardiac tamponade but had massive haemothorax due to congenital pericardial defects leading to confusion in diagnoses and surgical strategies. Therefore, it may be necessary to consider congenital pericardial defects before performing an operation in case of acute type A aortic dissection with massive haemothorax.
Authors:
Masato Furui; Takeki Ohashi; Yasutaka Hirai; Soichirou Kageyama
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-07-27
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  15     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-26     Completed Date:  2013-04-11     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  912-4     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Nagoya Tokushukai General Hospital, Kasugai, Aichi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Aneurysm, Dissecting / complications*,  physiopathology,  radiography,  surgery
Aortic Rupture / complications*,  physiopathology,  radiography,  surgery
Aortography / methods
Blood Vessel Prosthesis Implantation
Fatal Outcome
Heart Defects, Congenital / complications*,  physiopathology,  radiography
Hemodynamics
Hemothorax / etiology
Humans
Male
Pericardium / abnormalities*
Pleural Effusion / etiology
Predictive Value of Tests
Tomography, X-Ray Computed
Treatment Outcome
Comments/Corrections

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