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Published on: March 28, 2025
Acute Stanford type B dissection and cardiac tamponade: rupture from around ductus arteriosus
Kazuhito Imanaka1, Takahiro Matsuoka, Keiko Abe
1Department of Cardiovascular Surgery, Saitama Medical School, Saitama, Japan. imanakaz@saitamamed.ac.jp
Abstract:
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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