Pericardial Effusion Masquerading as an Aortic Dissection.
Summary of "Pericardial Effusion Masquerading as an Aortic Dissection."
A 24-year-old woman with a history of recurrent syncope underwent an echocardiogram that was suspicious for an ascending aortic dissection. Cardiac magnetic resonance imaging was performed which showed no evidence of aortic dissection. However, it did demonstrate a pericardial effusion that extended to the aortic arch. This case shows how pericardial effusions can simulate the appearance of an aortic dissection because of its extension to the aortic arch. (Echocardiography, ****;**:E1-E3).
Affiliation
Department of Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Journal Details
This article was published in the following journal.
Name: Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20678127
- DOI: http://dx.doi.org/10.1111/j.1540-8175.2010.01252.x
Medical and Biotech [MESH] Definitions
Pericardial Effusion
Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.
Neck Dissection
Dissection in the neck to remove all disease tissues including cervical LYMPH NODES and to leave an adequate margin of normal tissue. This type of surgery is usually used in tumors or cervical metastases in the head and neck. The prototype of neck dissection is the radical neck dissection described by Crile in 1906.
Pericarditis
Inflammation of the PERICARDIUM from various origins, such as infection, neoplasm, autoimmune process, injuries, or drugs-induced. Pericarditis usually leads to PERICARDIAL EFFUSION, or CONSTRICTIVE PERICARDITIS.
Lymphoma, Primary Effusion
A rare neoplasm of large B-cells usually presenting as serious effusions without detectable tumor masses. The most common sites of involvement are the pleural, pericardial, and peritoneal cavities. It is associated with HUMAN HERPESVIRUS 8, most often occurring in the setting of immunodeficiency.
Postpericardiotomy Syndrome
A nonspecific hypersensitivity reaction caused by TRAUMA to the PERICARDIUM, often following PERICARDIOTOMY. It is characterized by PERICARDIAL EFFUSION; high titers of anti-heart antibodies; low-grade FEVER; LETHARGY; loss of APPETITE; or ABDOMINAL PAIN.
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