Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography
In this case, a 79-year-old white male is seen in the emergency department complaining of acute chest pressure, shortness of breath, diaphoresis, and dizziness that began for 4 h from the time of presentation. Physical examination showed signs concerning for cardiac tamponade in the presence of hypo...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Heart Views |
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| Online Access: | https://journals.lww.com/10.4103/heartviews.heartviews_49_24 |
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| _version_ | 1832087325135339520 |
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| author | Khalid Sawalha Angel López-Candales |
| author_facet | Khalid Sawalha Angel López-Candales |
| author_sort | Khalid Sawalha |
| collection | DOAJ |
| description | In this case, a 79-year-old white male is seen in the emergency department complaining of acute chest pressure, shortness of breath, diaphoresis, and dizziness that began for 4 h from the time of presentation. Physical examination showed signs concerning for cardiac tamponade in the presence of hypotension. Echocardiography showed a large amount of hemopericardium. We then injected intravenous contrast that became visible within the pericardial space. Chest computed tomography showed Type A aortic dissection. The patient was transferred to a higher-level facility for intervention. We share this rare presentation of spontaneous aortic dissection complicated by cardiac tamponade and hemopericardium. |
| format | Article |
| id | doaj-art-2611cca93b8d4bbabd29aecee60c8058 |
| institution | Kabale University |
| issn | 1995-705X 0976-5123 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj-art-2611cca93b8d4bbabd29aecee60c80582025-02-06T05:22:53ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X0976-51232024-07-0125317918210.4103/heartviews.heartviews_49_24Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by EchocardiographyKhalid SawalhaAngel López-CandalesIn this case, a 79-year-old white male is seen in the emergency department complaining of acute chest pressure, shortness of breath, diaphoresis, and dizziness that began for 4 h from the time of presentation. Physical examination showed signs concerning for cardiac tamponade in the presence of hypotension. Echocardiography showed a large amount of hemopericardium. We then injected intravenous contrast that became visible within the pericardial space. Chest computed tomography showed Type A aortic dissection. The patient was transferred to a higher-level facility for intervention. We share this rare presentation of spontaneous aortic dissection complicated by cardiac tamponade and hemopericardium.https://journals.lww.com/10.4103/heartviews.heartviews_49_24cardiac tamponadehemopericardiumspontaneous aortic dissection |
| spellingShingle | Khalid Sawalha Angel López-Candales Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography Heart Views cardiac tamponade hemopericardium spontaneous aortic dissection |
| title | Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography |
| title_full | Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography |
| title_fullStr | Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography |
| title_full_unstemmed | Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography |
| title_short | Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography |
| title_sort | aortic dissection presenting as cardiac tamponade with hemopericardium initially identified by echocardiography |
| topic | cardiac tamponade hemopericardium spontaneous aortic dissection |
| url | https://journals.lww.com/10.4103/heartviews.heartviews_49_24 |
| work_keys_str_mv | AT khalidsawalha aorticdissectionpresentingascardiactamponadewithhemopericardiuminitiallyidentifiedbyechocardiography AT angellopezcandales aorticdissectionpresentingascardiactamponadewithhemopericardiuminitiallyidentifiedbyechocardiography |