Fraser A G, Passani S, Hayward M W
Br Heart J. 1987 Aug;58(2):166-9. doi: 10.1136/hrt.58.2.166.
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.
一名患者在突发严重胸痛伴近端主动脉扩张16年后出现心包填塞和心包积血。检查发现近端主动脉夹层（DeBakey II型），其假腔内有广泛的层状和部分钙化血栓，以及大量心包积液，两者共同导致心胸比率为100%。近端主动脉夹层经药物治疗后出现如此晚期的心包填塞进展，此前尚未有长期存活的报道。
