BACKGROUND Acute chest pain represents a common presentation at emergency department. Aortic dissection in young patients, however, is fortunately rare. METHODS We report a case of giant ascending aortic aneurysm with Stanford type A aortic dissection in an otherwise well 22-year-old male patient. Operative aortic valve and root replacement was undertaken with favourable outcome. RESULTS Hi...

We report a case of an idiopathic coronary artery rupture in a 41-year-old male patient who was admitted to the hospital with cardiac tamponade. On opening the chest via a median sternotomy and establishing cardiopulmonary bypass the hemopericardium's cause could be identified as a perforation of the right posterior descending coronary artery which was treated with a saphenous vein patch plasty...

Twenty-six patients with constrictive pericarditis have been investigated and treated-by surgical in addition to medical methods in 22, and by medical management alone in four. A tuberculous aetiology was proved in only two patients but was probable in 10 others. One patient developed constriction of the heart following a stab wound, which caused a haemopericardium, and one after organization o...

Intrapericardial developmental foregut cysts are rare and are most frequently incidental findings at necropsy in adults. A 29 year old Asian woman delivered a 24 week stillborn fetus seven days after diagnosis of intrauterine death caused by rupture of a foregut cyst. Multiple cysts occupied the wall of the right atrium and its rupture caused haemopericardium and cardiac tamponade.

A 24 year old man presented to the emergency department with clinical signs of cardiac tamponade requiring emergency surgery. The cause was a sternal wire from a pectus excavatum repair two years previously that had fractured and migrated through the pericardium causing an epicardial injury and a haemopericardium.

In patients with ischemic stroke more than 17 % have atrial fibrillation. Oral anticoagulant therapy is the main strategy for embolism prevention in presence of contraindications, an alternative to isolation left appendage. The use appendage occluder comparable effectiveness using therapy. However, possible complications arising from device implantation remain a limitation spread this method. a...

This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient's International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation w...

MANY excellent reviews of coronary arteriovenous fistulas have recently appeared in the literature.1 2 In the majority of these fatal cases, death was attributed to congestive heart failure. Rupture of the eoronary sinus as a coinplication of a coronary arteriovenous fistula has not, to our knowledge, been reported. The present case is thought to be unique in that the fistula was accompanied by...

A patient with Bean's blue rubber bleb nevus syndrome presented with a hemothorax, and 18 years earlier had presented with "idiopathic" hemopercardium and tamponade. Typical hemangiomas were found in the pleura and skin. This is the first report of intrathoracic bleeding with this disorder.