PT  - JOURNAL ARTICLE
AU  - A G Fraser
AU  - S Passani
AU  - M W Hayward
TI  - Chronic proximal aortic dissection presenting as tamponade after 16 years.
AID  - 10.1136/hrt.58.2.166
DP  - 1987 Aug 01
TA  - British Heart Journal
PG  - 166--169
VI  - 58
IP  - 2
4099  - http://heart.bmj.com/content/58/2/166.short
4100  - http://heart.bmj.com/content/58/2/166.full
SO  - Heart1987 Aug 01; 58
AB  - 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.