Related Experiment Video
Updated: Dec 16, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
732
Transverse Pericardial Sinus Hematoma From Type A Aortic Dissection: A Diagnostic Challenge
Raed Qarajeh1, Kyle Lehenbauer2, Ahmed Elkaryoni3
1Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, USA.
Cureus
|July 4, 2020
Summary
A rare case of ascending aortic dissection caused a transverse pericardial sinus hematoma, complicating diagnosis. This hematoma, stemming from aortic perforation, compressed the left atrium, highlighting a diagnostic challenge.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Imaging
Background:
- Ascending (Type A) aortic dissection is a life-threatening condition.
- Transverse pericardial sinus hematoma is a rare complication of aortic dissection.
- Diagnosis can be challenging due to compression of adjacent structures.
Observation:
- A 77-year-old man presented with sudden chest pain, initially suspected as acute coronary syndrome.
- Coronary angiography excluded acute coronary syndrome.
- Transthoracic echocardiogram revealed an extracardiac structure compressing the left atrium.
Findings:
- Transesophageal echocardiogram confirmed aortic dissection and a transverse pericardial sinus hematoma.
- Intraoperative findings revealed a posterior perforation of the ascending aorta extending into the left atrium.
- Extraction of the hematoma was performed.
Implications:
- This case underscores the importance of considering aortic dissection in patients with atypical presentations.
- Advanced imaging modalities like transesophageal echocardiography are crucial for diagnosing rare complications.
- Prompt surgical intervention is necessary for managing such life-threatening conditions.
Keywords:
acute aortic dissectionacute aortic syndromepericardial hematomatransverse pericardial sinustype a aortic dissectionMore Related Videos
07:12Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
3.9K
06:51Author Spotlight: Development of a Minimally Invasive Large-Animal Model for Reliable and Reproducible Cardiovascular Research
Published on: October 20, 2023
1.5K
Related Concept Videos
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
269
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
269
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
124
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
124
01:30Aneurysm I: Introduction
195
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
195
01:15Aortic Regurgitation I: Introduction
307
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
307
01:26Aneurysm III: Interprofessional Care
163
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
163
01:17Pericarditis III: Medical Management
185
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
185