PMC6114880_01
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)
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Fig1
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).
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
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Fig2
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).