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J Thorac Cardiovasc Surg 2005;129:939-940
© 2005 The American Association for Thoracic Surgery

Brief Communications

Paradoxical hemopericardium in type B acute aortic dissection

Hisato Takagi, MD, PhD*, Hideaki Manabe, MD, Seishiro Sekino, MD, Takayoshi Kato, MD, Yukihiro Matsuno, MD, PhD, Takuya Umemoto, MD, PhD

Department of Cardiovascular Surgery, Sizuoka Medical Center, Shizuoka, Japan.

Received for publication July 14, 2004; revisions received August 7, 2004; accepted for publication August 10, 2004.

* Address for reprints: Hisato Takagi, MD, PhD, Department of Cardiovascular Surgery, Sizuoka Medical Center, 762-1 Nagasawa, Shimizu-cho, Sunto-gun, Shizuoka 411-8611, Japan (E-mail: kfgth973@ybb.ne.jp).

The first 20% of the full text of this article appears below.


Figure 1
Front row, left to right: Umemoto, Takagi; back row, left to right: Matsuno, Kato, Sekino, Manabe


Although hemopericardium often occurs in Stanford type A acute aortic dissection or intramural hematoma, any reports of this in type B dissection have never been found in the literature.1 We here describe the first case of cardiac tamponade caused by hemopericardium in type B acute thrombosed aortic dissection.

Clinical summary

A 71-year-old man who had been medicated for hypertension and gout presented with acute back pain and subsequent chest pain. Pallor, perspiration, neck vein distention, tachycardia (108 beats/min), hypotension (93/58 mm Hg), and anuria were recognized. Moderate pericardial effusion without aortic valve regurgitation was disclosed on echocardiography. Computed tomographic scanning revealed dissection in the descending thoracic aorta with a noncontrasted . . . [Full Text of this Article]




This article has been cited by other articles:


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Acute Stanford Type B Dissection and Cardiac Tamponade: Rupture From Around Ductus Arteriosus
Ann. Thorac. Surg., July 1, 2007; 84(1): 278 - 280.
[Abstract] [Full Text] [PDF]


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