This case demonstrates that long-term survival is possible in rare instances of acute type A aortic dissection with cardiac tamponade treated without definitive aortic surgery.
Challenges standard surgical mandate for type A dissection with tamponade; case report leaves open selective nonoperative strategies.
Acute type A aortic dissection complicated by cardiac tamponade portends a lethal prognosis. We report the unusual case of an older female who unexpectedly survived for more than one year after presentation with acute dissection and tamponade. She was treated with a pericardial window and remains alive now four years after presentation.
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Jerzewski et al. (2014) studied this question.
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