Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion

Aortic dissection is the most devastating sequelae of aortopathy other than aortic rupture. However, aortic dissection can be asymptomatic in the acute phase with delayed symptomatic presentation or incidental diagnosis upon chest imaging. We report a case of a 63-year-old male who was diagnosed wit...

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Main Authors: Ashraf Abugroun, Ahmed Subahi, Safwan Gaznabi, Hussein Daoud
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/3562871
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author Ashraf Abugroun
Ahmed Subahi
Safwan Gaznabi
Hussein Daoud
author_facet Ashraf Abugroun
Ahmed Subahi
Safwan Gaznabi
Hussein Daoud
author_sort Ashraf Abugroun
collection DOAJ
description Aortic dissection is the most devastating sequelae of aortopathy other than aortic rupture. However, aortic dissection can be asymptomatic in the acute phase with delayed symptomatic presentation or incidental diagnosis upon chest imaging. We report a case of a 63-year-old male who was diagnosed with pericardial effusion upon preoperative workup for elective cholecystectomy. Further investigations confirmed hemorrhagic pericardial effusion secondary to a chronic dissecting ascending aortic aneurysm. The patient condition was successfully managed with open surgical repair with an uneventful postoperative course. This case demonstrates an extremely rare presentation of incidental hemorrhagic pericardial effusion caused by a chronic dissecting ascending aortic aneurysm.
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series Case Reports in Cardiology
spelling doaj-art-e86c1e372c604b1c8e3fe76db1a63d052025-08-20T03:21:03ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/35628713562871Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial EffusionAshraf Abugroun0Ahmed Subahi1Safwan Gaznabi2Hussein Daoud3Department of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Avenue, Chicago, IL 60657, USADepartment of Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, Michigan, USADepartment of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Avenue, Chicago, IL 60657, USADepartment of Internal Medicine, Advocate Illinois Masonic Medical Center, 836 W Wellington Avenue, Chicago, IL 60657, USAAortic dissection is the most devastating sequelae of aortopathy other than aortic rupture. However, aortic dissection can be asymptomatic in the acute phase with delayed symptomatic presentation or incidental diagnosis upon chest imaging. We report a case of a 63-year-old male who was diagnosed with pericardial effusion upon preoperative workup for elective cholecystectomy. Further investigations confirmed hemorrhagic pericardial effusion secondary to a chronic dissecting ascending aortic aneurysm. The patient condition was successfully managed with open surgical repair with an uneventful postoperative course. This case demonstrates an extremely rare presentation of incidental hemorrhagic pericardial effusion caused by a chronic dissecting ascending aortic aneurysm.http://dx.doi.org/10.1155/2019/3562871
spellingShingle Ashraf Abugroun
Ahmed Subahi
Safwan Gaznabi
Hussein Daoud
Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion
Case Reports in Cardiology
title Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion
title_full Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion
title_fullStr Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion
title_full_unstemmed Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion
title_short Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion
title_sort chronic type a aortic dissection rare presentation of incidental pericardial effusion
url http://dx.doi.org/10.1155/2019/3562871
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AT safwangaznabi chronictypeaaorticdissectionrarepresentationofincidentalpericardialeffusion
AT husseindaoud chronictypeaaorticdissectionrarepresentationofincidentalpericardialeffusion