Key result
Open surgical repair successfully managed a 63-year-old male with an extremely rare presentation of incidental hemorrhagic pericardial effusion caused by a chronic dissecting ascending aortic aneurysm.
Why the study?
Aortic dissection can be asymptomatic acutely, leading to delayed presentation or incidental diagnosis on chest imaging.
Case Report (n=1)
Chronic type A aortic dissection can rarely present as an incidental hemorrhagic pericardial effusion.
Alerts clinicians to rare chronic type A dissection in hemorrhagic effusions; extends sparse case evidence on surgical outcomes.
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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Abugroun et al. (2019) conducted a case report in Chronic type A aortic dissection with hemorrhagic pericardial effusion (n=1). Open surgical repair was evaluated on Patient outcome. Open surgical repair successfully managed a 63-year-old male with an extremely rare presentation of incidental hemorrhagic pericardial effusion caused by a chronic dissecting ascending aortic aneurysm.
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