Pericardial effusion masquerading as an aortic dissection.

Echocardiography

Department of Cardiology, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.

Published: January 2011

AI Article Synopsis

  • A 24-year-old woman with recurring fainting spells had an echocardiogram that suggested a possible ascending aortic dissection.
  • Further cardiac MRI ruled out the dissection but revealed a pericardial effusion near the aortic arch.
  • The case highlights how pericardial effusions can mimic aortic dissection appearances due to their location.

Article Abstract

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.

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Source
http://dx.doi.org/10.1111/j.1540-8175.2010.01252.xDOI Listing

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