Acute aortic syndrome mimicking intramural hematoma with hemopericardium
We report a case of acute aortic syndrome in a 64-year-old man who presented with chest pain and hypotension. His electrocardiogram and cardiac troponins were normal. Computed tomography showed hemopericardium of 2.4 cm, but no aortic intimal tear. At surgery, the portion of the aorta affected by ad...
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| Veröffentlicht in: | Asian cardiovascular & thoracic annals 2014-09, Vol.22 (7), p.839-841 |
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| container_title | Asian cardiovascular & thoracic annals |
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| creator | Jara-Rubio, Rubén Sánchez-Cámara, Silvia Taboada-Martín, Rubén Jiménez-Aceituno, Antonio García-Villa, Manuel Vidal-Abarca, Inmaculada |
| description | We report a case of acute aortic syndrome in a 64-year-old man who presented with chest pain and hypotension. His electrocardiogram and cardiac troponins were normal. Computed tomography showed hemopericardium of 2.4 cm, but no aortic intimal tear. At surgery, the portion of the aorta affected by adventitial hemorrhage was replaced with a Dacron graft. A nonpenetrating ulcerated plaque was also observed. Massive bleeding through the chest drains with hypotension required emergency reoperation in the intensive care unit. The patient was discharged home on postoperative day 11. |
| doi_str_mv | 10.1177/0218492313484163 |
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His electrocardiogram and cardiac troponins were normal. Computed tomography showed hemopericardium of 2.4 cm, but no aortic intimal tear. At surgery, the portion of the aorta affected by adventitial hemorrhage was replaced with a Dacron graft. A nonpenetrating ulcerated plaque was also observed. Massive bleeding through the chest drains with hypotension required emergency reoperation in the intensive care unit. The patient was discharged home on postoperative day 11.</description><identifier>ISSN: 0218-4923</identifier><identifier>EISSN: 1816-5370</identifier><identifier>DOI: 10.1177/0218492313484163</identifier><identifier>PMID: 24887817</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acute Disease ; Aortic Diseases - diagnosis ; Aortic Diseases - physiopathology ; Aortic Diseases - surgery ; Biopsy ; Blood Vessel Prosthesis Implantation - adverse effects ; Chest Pain - etiology ; Diagnosis, Differential ; Hematoma - diagnosis ; Hemorrhage - diagnosis ; Hemorrhage - physiopathology ; Hemorrhage - surgery ; Humans ; Hypotension - etiology ; Hypotension - physiopathology ; Hypotension - surgery ; Male ; Middle Aged ; Pericardial Effusion - diagnosis ; Pericardial Effusion - physiopathology ; Pericardial Effusion - surgery ; Postoperative Hemorrhage - etiology ; Postoperative Hemorrhage - physiopathology ; Postoperative Hemorrhage - surgery ; Predictive Value of Tests ; Reoperation ; Syndrome ; Tomography, X-Ray Computed ; Treatment Outcome ; Ulcer - diagnosis ; Ulcer - physiopathology ; Ulcer - surgery</subject><ispartof>Asian cardiovascular & thoracic annals, 2014-09, Vol.22 (7), p.839-841</ispartof><rights>The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c205t-31c874f0bc6248062803d4972c98db8e6682523410e900c858f8ff1ac2c7bc113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0218492313484163$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0218492313484163$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21802,27907,27908,43604,43605</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24887817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jara-Rubio, Rubén</creatorcontrib><creatorcontrib>Sánchez-Cámara, Silvia</creatorcontrib><creatorcontrib>Taboada-Martín, Rubén</creatorcontrib><creatorcontrib>Jiménez-Aceituno, Antonio</creatorcontrib><creatorcontrib>García-Villa, Manuel</creatorcontrib><creatorcontrib>Vidal-Abarca, Inmaculada</creatorcontrib><title>Acute aortic syndrome mimicking intramural hematoma with hemopericardium</title><title>Asian cardiovascular & thoracic annals</title><addtitle>Asian Cardiovasc Thorac Ann</addtitle><description>We report a case of acute aortic syndrome in a 64-year-old man who presented with chest pain and hypotension. His electrocardiogram and cardiac troponins were normal. Computed tomography showed hemopericardium of 2.4 cm, but no aortic intimal tear. At surgery, the portion of the aorta affected by adventitial hemorrhage was replaced with a Dacron graft. A nonpenetrating ulcerated plaque was also observed. Massive bleeding through the chest drains with hypotension required emergency reoperation in the intensive care unit. The patient was discharged home on postoperative day 11.</description><subject>Acute Disease</subject><subject>Aortic Diseases - diagnosis</subject><subject>Aortic Diseases - physiopathology</subject><subject>Aortic Diseases - surgery</subject><subject>Biopsy</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Chest Pain - etiology</subject><subject>Diagnosis, Differential</subject><subject>Hematoma - diagnosis</subject><subject>Hemorrhage - diagnosis</subject><subject>Hemorrhage - physiopathology</subject><subject>Hemorrhage - surgery</subject><subject>Humans</subject><subject>Hypotension - etiology</subject><subject>Hypotension - physiopathology</subject><subject>Hypotension - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pericardial Effusion - diagnosis</subject><subject>Pericardial Effusion - physiopathology</subject><subject>Pericardial Effusion - surgery</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Postoperative Hemorrhage - physiopathology</subject><subject>Postoperative Hemorrhage - surgery</subject><subject>Predictive Value of Tests</subject><subject>Reoperation</subject><subject>Syndrome</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ulcer - diagnosis</subject><subject>Ulcer - physiopathology</subject><subject>Ulcer - surgery</subject><issn>0218-4923</issn><issn>1816-5370</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDFPwzAQhS0EoqWwM6GMLIE7O46dsaqAIlVigTlyHKd1qeNiJ0L99yQqMCAxnU7ve093j5BrhDtEIe6BoswKypBlMsOcnZApSsxTzgSckukop6M-IRcxbgFgIOU5mdBMSiFRTMlyrvvOJMqHzuokHto6eGcSZ53V77ZdJ7btgnJ9ULtkY5zqvFPJp-024-b3JlitQm17d0nOGrWL5up7zsjb48PrYpmuXp6eF_NVqinwLmWopcgaqHQ-HAE5lcDqrBBUF7KupMlzSTllGYIpALTkspFNg0pTLSqNyGbk9pi7D_6jN7ErnY3a7HaqNb6PJXLOc0o5owMKR1QHH2MwTbkP1qlwKBHKsb_yb3-D5eY7va-cqX8NP4UNQHoEolqbcuv70A7f_h_4BbR6dwU</recordid><startdate>201409</startdate><enddate>201409</enddate><creator>Jara-Rubio, Rubén</creator><creator>Sánchez-Cámara, Silvia</creator><creator>Taboada-Martín, Rubén</creator><creator>Jiménez-Aceituno, Antonio</creator><creator>García-Villa, Manuel</creator><creator>Vidal-Abarca, Inmaculada</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201409</creationdate><title>Acute aortic syndrome mimicking intramural hematoma with hemopericardium</title><author>Jara-Rubio, Rubén ; Sánchez-Cámara, Silvia ; Taboada-Martín, Rubén ; Jiménez-Aceituno, Antonio ; García-Villa, Manuel ; Vidal-Abarca, Inmaculada</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c205t-31c874f0bc6248062803d4972c98db8e6682523410e900c858f8ff1ac2c7bc113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acute Disease</topic><topic>Aortic Diseases - diagnosis</topic><topic>Aortic Diseases - physiopathology</topic><topic>Aortic Diseases - surgery</topic><topic>Biopsy</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Chest Pain - etiology</topic><topic>Diagnosis, Differential</topic><topic>Hematoma - diagnosis</topic><topic>Hemorrhage - diagnosis</topic><topic>Hemorrhage - physiopathology</topic><topic>Hemorrhage - surgery</topic><topic>Humans</topic><topic>Hypotension - etiology</topic><topic>Hypotension - physiopathology</topic><topic>Hypotension - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pericardial Effusion - diagnosis</topic><topic>Pericardial Effusion - physiopathology</topic><topic>Pericardial Effusion - surgery</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Postoperative Hemorrhage - physiopathology</topic><topic>Postoperative Hemorrhage - surgery</topic><topic>Predictive Value of Tests</topic><topic>Reoperation</topic><topic>Syndrome</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ulcer - diagnosis</topic><topic>Ulcer - physiopathology</topic><topic>Ulcer - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Jara-Rubio, Rubén</creatorcontrib><creatorcontrib>Sánchez-Cámara, Silvia</creatorcontrib><creatorcontrib>Taboada-Martín, Rubén</creatorcontrib><creatorcontrib>Jiménez-Aceituno, Antonio</creatorcontrib><creatorcontrib>García-Villa, Manuel</creatorcontrib><creatorcontrib>Vidal-Abarca, Inmaculada</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Asian cardiovascular & thoracic annals</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jara-Rubio, Rubén</au><au>Sánchez-Cámara, Silvia</au><au>Taboada-Martín, Rubén</au><au>Jiménez-Aceituno, Antonio</au><au>García-Villa, Manuel</au><au>Vidal-Abarca, Inmaculada</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute aortic syndrome mimicking intramural hematoma with hemopericardium</atitle><jtitle>Asian cardiovascular & thoracic annals</jtitle><addtitle>Asian Cardiovasc Thorac Ann</addtitle><date>2014-09</date><risdate>2014</risdate><volume>22</volume><issue>7</issue><spage>839</spage><epage>841</epage><pages>839-841</pages><issn>0218-4923</issn><eissn>1816-5370</eissn><abstract>We report a case of acute aortic syndrome in a 64-year-old man who presented with chest pain and hypotension. His electrocardiogram and cardiac troponins were normal. Computed tomography showed hemopericardium of 2.4 cm, but no aortic intimal tear. At surgery, the portion of the aorta affected by adventitial hemorrhage was replaced with a Dacron graft. A nonpenetrating ulcerated plaque was also observed. Massive bleeding through the chest drains with hypotension required emergency reoperation in the intensive care unit. The patient was discharged home on postoperative day 11.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24887817</pmid><doi>10.1177/0218492313484163</doi><tpages>3</tpages></addata></record> |
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| subjects | Acute Disease Aortic Diseases - diagnosis Aortic Diseases - physiopathology Aortic Diseases - surgery Biopsy Blood Vessel Prosthesis Implantation - adverse effects Chest Pain - etiology Diagnosis, Differential Hematoma - diagnosis Hemorrhage - diagnosis Hemorrhage - physiopathology Hemorrhage - surgery Humans Hypotension - etiology Hypotension - physiopathology Hypotension - surgery Male Middle Aged Pericardial Effusion - diagnosis Pericardial Effusion - physiopathology Pericardial Effusion - surgery Postoperative Hemorrhage - etiology Postoperative Hemorrhage - physiopathology Postoperative Hemorrhage - surgery Predictive Value of Tests Reoperation Syndrome Tomography, X-Ray Computed Treatment Outcome Ulcer - diagnosis Ulcer - physiopathology Ulcer - surgery |
| title | Acute aortic syndrome mimicking intramural hematoma with hemopericardium |
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