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Ann Thorac Surg 2007;84:278-280
© 2007 The Society of Thoracic Surgeons

Case Reports

Acute Stanford Type B Dissection and Cardiac Tamponade: Rupture From Around Ductus Arteriosus

Kazuhito Imanaka, MD*, Takahiro Matsuoka, MD, Keiko Abe, MD, Motonobu Nishimura, MD, Shunei Kyo, MD

Department of Cardiovascular Surgery, Saitama Medical School, Saitama, Japan

Accepted for publication December 18, 2006.

* Address correspondence to Dr Imanaka, Department of Cardiovascular Surgery, Saitama Medical School, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama, 350-0495, Japan (Email: imanakaz{at}saitama-med.ac.jp).

Pericardial tamponade is rarely associated with acute Stanford type B aortic dissection. We encountered this unusual combination in a 59-year-old patient. He underwent an emergency drainage procedure through a midline sternotomy. Operative findings strongly suggested that the dissected aorta ruptured into the pericardial cavity from around the ductus arteriosus. Clinicians should be aware that Stanford type B aortic dissection can cause pericardial tamponade.






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Copyright © 2007 by The Society of Thoracic Surgeons.