Partial pericardial defect associated with ruptured aortic dissection of the ascending aorta: a rare feature presenting severe left hemothorax without.

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Partial pericardial defect associated with ruptured aortic dissection of the ascending aorta: a rare feature presenting severe left hemothorax without cardiac tamponade Masato Nakajima, MD, Kouji Tsuchiya, MD, Yuji Naito, MD, Hidenori Inoue, MD, Kensuke Kobayashi, MD, Eiki Mizutani, MD The Annals of Thoracic Surgery Volume 77, Issue 3, Pages 1066-1068 (March 2004) DOI: 10.1016/S0003-4975(03)01147-0

Fig 1 Chest roentgenogram at previous hospital showing mild dilatation of the mediastinal shadow and mild left-side pleural effusion. The Annals of Thoracic Surgery 2004 77, 1066-1068DOI: (10.1016/S0003-4975(03)01147-0)

Fig 2 (A, B) Computed tomography at previous hospital showing aortic dissection localized on ascending aorta and left pleural effusion. (C) Pericardial effusion was not present. The Annals of Thoracic Surgery 2004 77, 1066-1068DOI: (10.1016/S0003-4975(03)01147-0)

Fig 3 Chest roentgenogram performed at our hospital showing severe left-side pleural effusion. The Annals of Thoracic Surgery 2004 77, 1066-1068DOI: (10.1016/S0003-4975(03)01147-0)

Fig 4 Operative findings showing a 3 × 5 cm pericardial defect on the upper border of the left side of the pericardium (black arrows). The Annals of Thoracic Surgery 2004 77, 1066-1068DOI: (10.1016/S0003-4975(03)01147-0)