PMC2628653_01
CT-scan showing type A dissection with a dissection flap.
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F1
This revealed a type A dissection with suspicion of a bloody pericardial effusion (Figures 1, 2 and 3).
CT scan showing an adherent structure which compressing the right ventricle.
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F2
This revealed a type A dissection with suspicion of a bloody pericardial effusion (Figures 1, 2 and 3).
CT scan showing an adherent structure which compressing the right ventricle.
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F3
This revealed a type A dissection with suspicion of a bloody pericardial effusion (Figures 1, 2 and 3).
Intraoperative view of the opened pericardium with purulent structure.
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F4
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.
Three gauze compresses which were secured.
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F5
After cautious dissection, 3 greatly adhered gauze compresses (Figure 5) were carefully removed from the pericardium.
Follow-up CT-scan after one month with a decompressed right ventricle.
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F6
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).
Three-dimensional volume rendered image showing the postoperative result after one month.
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F7
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).