Affiliations 

  • 1 National University Hospital, Department of Diagnostic Radiology, Singapore. pohfeng@gmail.com
  • 2 National University Hospital, Department of Diagnostic Radiology, Singapore
Med J Malaysia, 2014 Feb;69(1):37-9.
PMID: 24814629

Abstract

Chest pain is a common presenting complaint in the emergency room of which acute aortic syndrome is a sinister cause associated with high morbidity. A contrastenhanced CT aortogram is often performed for initial evaluation at the first instance of suspicion. We present a patient with Stanford Type A intramural haematoma complicated by haemopericardium and acute cardiac tamponade and highlight the relevant CT signs that would alert the managing physician to urgent echocardiogram correlation and emergent cardiothoracic intervention.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.