Case of the Month, Cardiac: April, 2011 Page 2

Answer:  Correct answer is C: aortic dissection and rupture.

(Click here for larger image.)



(Click here for larger image.)



A CT angiogram of the chest revealed evidence of aortic dissection with extravasation of contrast in the mediastinum. She was noted to have significant clotted blood in the pericardium. The patient was taken to the operating room on an emergent basis for repair of the acute dissection with a 34 mm bevel graft with deep hypothermic circulatory arrest and antegrade and retrograde cardioplegia solution, as well as repair of the aortic valve. The patient did quite well and was stable when she was transferred to an assisted living facility with stable labs and normal hemodynamics.

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