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[Right pleural effusion in aortic dissecting aneurysm].

R Scrofani¹, C Carro, M Munari

¹Divisione di Cardiochirurgia, Ospedale L. Sacco, Milano.

Italian Heart Journal. Supplement : Official Journal of the Italian Federation of Cardiology

|February 24, 2001

Summary

Massive right hemorrhagic pleural effusion can indicate thoracic aortic dissection. This rare sign, associated with descending aorta dissection (Type B), requires further study for its underlying cause.

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Area of Science:

Cardiovascular Medicine
Thoracic Surgery
Diagnostic Imaging

Background:

Thoracic aortic dissection is a life-threatening condition.
Hemorrhagic pleural effusion is an uncommon presentation.

Observation:

Two cases of massive right hemorrhagic pleural effusion were observed.
These effusions were associated with descending aorta dissection (Type B).

Findings:

Tomographic scans confirmed descending aorta dissection.
Transesophageal echocardiography excluded ascending aorta dissection.
Right hemorrhagic pleural effusion is an unusual sign in thoracic aorta dissection.

Implications:

This presentation highlights a rare clinical manifestation of aortic dissection.

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Further research is needed to elucidate the pathophysiology of this sign.

Early recognition may improve diagnostic timelines for aortic emergencies.