@article {Fraser166, author = {A G Fraser and S Passani and M W Hayward}, title = {Chronic proximal aortic dissection presenting as tamponade after 16 years.}, volume = {58}, number = {2}, pages = {166--169}, year = {1987}, doi = {10.1136/hrt.58.2.166}, publisher = {BMJ Publishing Group Ltd}, abstract = {A patient presented with tamponade and haemopericardium 16 years after experiencing sudden severe chest pain associated with enlargement of the proximal aorta. Investigations revealed a proximal aortic dissection (DeBakey type II) with extensive laminar and partially calcified thrombus within its false lumen and a large pericardial effusion, which together resulted in a cardiothoracic ratio of 100\%. Long term survival after medical treatment of proximal aortic dissection, with such late progression to tamponade, has not been reported before.}, issn = {0007-0769}, URL = {https://heart.bmj.com/content/58/2/166}, eprint = {https://heart.bmj.com/content/58/2/166.full.pdf}, journal = {Heart} }