Scrofani R, Carro C, Munari M, Antona C
Divisione di Cardiochirurgia, Ospedale L. Sacco, Milano.
Ital Heart J Suppl. 2000 Jun;1(6):808-10.
Right hemorrhagic pleural effusion may be a presenting sign of thoracic aortic dissecting aneurysm. We describe 2 cases of massive right hemorrhagic pleural effusion and dissection of the descending aorta (type B) detected at tomographic scan. Transesophageal echocardiography ruled out a retrograde dissection of the ascending aorta. Right hemorrhagic pleural effusion is an unusual clinical presentation in thoracic aorta dissection and, up to now, the underling pathophysiology of this sign has not been defined yet.
右侧出血性胸腔积液可能是胸主动脉夹层动脉瘤的一个表现体征。我们描述了2例在断层扫描中发现的大量右侧出血性胸腔积液和降主动脉夹层（B型）的病例。经食管超声心动图排除了升主动脉逆行夹层。右侧出血性胸腔积液在胸主动脉夹层中是一种不常见的临床表现，迄今为止，这一体征的潜在病理生理学尚未明确。
