Korean J Med.  2015 Dec;89(6):695-698. 10.3904/kjm.2015.89.6.695.

Cardiac Tamponade and Pericarditis in Type B Intramural Hematoma: a Case Report

• Hwang N
• Park JS
• Cha KS
• Kim EH
• Han SY
• Kang JS

• KMID: 2268927
• DOI: http://doi.org/10.3904/kjm.2015.89.6.695

Abstract

We report the case of a patient with cardiac tamponade and pericarditis in type B intramural hematoma. A 75-year-old woman was admitted to the emergency department presenting with general weakness and dizziness for several hours and hemodynamic collapse. Thoracic echocardiography and computed tomography (CT) showed a large pericardial effusion and aortic intramural hematoma but no evidence of aortic dissection. Therefore, we concluded that the intramural hematoma did not involve the ascending aorta and thus immediately performed pericardiocentesis. Follow-up CT showed no pericardial effusion or specific changes in the range or depth of the intramural hematoma, and she was discharged continuing colchicines and ibuprofen therapy for acute pericarditis. Cardiac tamponade in type B intramural hematoma is extremely rare. Prompt diagnosis and initial treatment resulted in a substantial improvement in clinical status.

Keyword

Cardiac tamponade; Hematoma; Pericarditis

MeSH Terms

Aged
Aorta
Cardiac Tamponade*
Diagnosis
Dizziness
Echocardiography
Emergency Service, Hospital
Female
Follow-Up Studies
Hematoma*
Hemodynamics
Humans
Ibuprofen
Pericardial Effusion
Pericardiocentesis
Pericarditis*
Ibuprofen