case_images: PMC6114880_01
case_images: Preoperative CTs. CTs showing thrombosed type A aortic dissection with ulcer-like projection in the proximal ascending aorta, massive left pleural effusion (a), and mild pericardial effusion (b)
case_images: 40560_2018_325_Fig1_HTML.jpg
case_images: PMC6114880_01_40560_2018_325_Fig1_HTML.jpg
case_images: Fig1
case_images: Computed tomography (CT) showed a type A acute aortic dissection (AAD) with thrombotic occlusion of the false lumen and an ulcer-like projection in the proximal arch, along with mild pericardial effusion and massive left pleural effusion (Fig. 1).
case_images: Intraoperative photograph. Photograph showing the large laceration (arrows) of the pericardium at the phrenico-pleural junction communicating to the left pleural space. RV right ventricle
case_images: 40560_2018_325_Fig2_HTML.jpg
case_images: PMC6114880_01_40560_2018_325_Fig2_HTML.jpg
case_images: Fig2
case_images: In addition, a large laceration (10 cm) was found in the left posterolateral pericardium at the phrenico-pleural junction, through which the pericardial cavity communicated to the left pleural space (Fig. 2).