Work

A rare case of chronic type II DeBakey aortic dissection complicated by chronic massive pericardial effusion and cardiac tamponade

Year: 2025

Type: article

Abstract: An 88-year-old female patient with a history of hypertension and asthma presented to the emergency department with progressive dyspnea worsening with exertion, orthopnea, severe fatigue, and peripheral edema for the past four months. Her symptoms had not responded to bronchodilators. Echocardiography and contrast-enhanced thoracic CT revealed aortic valve regurgitation, an ascending aortic aneurysm with Type II aortic dissection, massive serous pericardial effusion causing tamponade, and bilateral pleural effusion. The patient underwent successful surgical intervention. We report a rare case of chronic Type II aortic dissection leading to cardiac tamponade, associated with an ascending aortic aneurysm, aortic valve regurgitation, and chronic massive serous pericardial effusion, a combination rarely documented in the literature.

Source: Cardiovascular Revascularization Medicine Interesting Cases

DOI: 10.1016/j.crmic.2025.100071

Authors: Nail Kahraman, Nöfel Ahmet Binicier

Institutions: Sağlık Bilimleri Üniversitesi, Bursa City Hospital

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $920