Aortic dissection with rupture into the pericardial sac
Diagnosis certain
Updates to Case Attributes
Age
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Aortic dissection is associated with hypertension, Marfan's syndrome and a bicuspid aortic valve. It commonly extends antegrade from either close to the aortic root (Type A) or just beyond the left subclavian artery (Type B). Less common is retrograde extension with rupture into the pericardial sac. There is about a 80% mortality within the first 2 weeks and an operative mortality of 25%. Management includes controlling hypertension. Reasons for surgical management include an enlarging aorta and in this case, pericardial tamponade.
Related articles
-<p>Aortic dissection is associated with hypertension, Marfan's syndrome and a bicuspid aortic valve. It commonly extends antegrade from either close to the aortic root (Type A) or just beyond the left subclavian artery (Type B). Less common is retrograde extension with rupture into the pericardial sac. There is about a 80% mortality within the first 2 weeks and an operative mortality of 25%. Management includes controlling hypertension. Reasons for surgical management include an enlarging aorta and in this case, pericardial tamponade. </p><p><strong>Related articles</strong></p><p>- <a title="Aortic dissection" href="/articles/aortic_dissection">aortic dissection</a></p><p>- <a title="Acute aortic syndrome" href="/articles/acute-aortic-syndrome">acute aortic syndrome</a></p><p>-<a title="Stanford classification of aortic dissection" href="/articles/stanford_classification"> Stanford classification</a></p>- +<p>Aortic dissection is associated with hypertension, Marfan's syndrome and a bicuspid aortic valve. It commonly extends antegrade from either close to the aortic root (Type A) or just beyond the left subclavian artery (Type B). Less common is retrograde extension with rupture into the pericardial sac. There is about a 80% mortality within the first 2 weeks and an operative mortality of 25%. Management includes controlling hypertension. Reasons for surgical management include an enlarging aorta and in this case, pericardial tamponade. </p>
Diagnostic Certainty
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Systems changed:
- Vascular
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Images Changes:
Image X-ray (Frontal) ( update )
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Frontal.
Single Or Stack Root
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