case_images: PMC2628653_01
case_images: CT-scan showing type A dissection with a dissection flap.
case_images: 1749-8090-4-1-1.jpg
case_images: PMC2628653_01_1749-8090-4-1-1.jpg
case_images: F1
case_images: This revealed a type A dissection with suspicion of a bloody pericardial effusion (Figures 1, 2 and 3).
case_images: CT scan showing an adherent structure which compressing the right ventricle.
case_images: 1749-8090-4-1-2.jpg
case_images: PMC2628653_01_1749-8090-4-1-2.jpg
case_images: F2
case_images: This revealed a type A dissection with suspicion of a bloody pericardial effusion (Figures 1, 2 and 3).
case_images: CT scan showing an adherent structure which compressing the right ventricle.
case_images: 1749-8090-4-1-3.jpg
case_images: PMC2628653_01_1749-8090-4-1-3.jpg
case_images: F3
case_images: This revealed a type A dissection with suspicion of a bloody pericardial effusion (Figures 1, 2 and 3).
case_images: Intraoperative view of the opened pericardium with purulent structure.
case_images: 1749-8090-4-1-4.jpg
case_images: PMC2628653_01_1749-8090-4-1-4.jpg
case_images: F4
case_images: A sternotomy was performed, revealing an adherent purulent structure (Figure 4), approximately 4-5 cm dimension that was clearly compressing the right ventricle without pericardial effusion, located in close relation to the ascending aorta.
case_images: Three gauze compresses which were secured.
case_images: 1749-8090-4-1-5.jpg
case_images: PMC2628653_01_1749-8090-4-1-5.jpg
case_images: F5
case_images: After cautious dissection, 3 greatly adhered gauze compresses (Figure 5) were carefully removed from the pericardium.
case_images: Follow-up CT-scan after one month with a decompressed right ventricle.
case_images: 1749-8090-4-1-6.jpg
case_images: PMC2628653_01_1749-8090-4-1-6.jpg
case_images: F6
case_images: A follow-up CT-scan was carried out one month later that documented a continued good postoperative result with a decompressed right ventricle (Figures 6 and 7).
case_images: Three-dimensional volume rendered image showing the postoperative result after one month.
case_images: 1749-8090-4-1-7.jpg
case_images: PMC2628653_01_1749-8090-4-1-7.jpg
case_images: F7
case_images: A follow-up CT-scan was carried out one month later that documented a continued good postoperative result with a decompressed right ventricle (Figures 6 and 7).