case_images: PMC11135817_01
case_images: Contrast agent computed tomography showed a lack of opacification of the entire right pulmonary main branch as a result of external compression by the presence of abundant effusion
case_images: JCE-34-32-g001.jpg
case_images: PMC11135817_01_JCE-34-32-g001.jpg
case_images: jcecho_77_23-f001
case_images: A contrast agent computed tomography (CT) was performed in the suspicion of pulmonary embolism (PE) which showed a lack of opacification of the entire right pulmonary main branch as a result of external compression by the presence of abundant effusion [Figure 1].
case_images: Intraoperative picture showing the hematoma involving the aortic root and pulmonary trunk
case_images: JCE-34-32-g002.jpg
case_images: PMC11135817_01_JCE-34-32-g002.jpg
case_images: jcecho_77_23-f002
case_images: A huge hemorrhagic infarction involving the aortic root and the common trunk of the pulmonary artery was seen at heart inspection [Figure 2].
case_images: Aortic root intimal tear
case_images: JCE-34-32-g003.jpg
case_images: PMC11135817_01_JCE-34-32-g003.jpg
case_images: jcecho_77_23-f003
case_images: Transverse aortotomy identified an intimal tear of the aortic root starting above the intercoronary commissure and extending toward the right coronary sinus between the commissure itself and the right coronary ostium [Figure 3].