Introduction
In Japan, aging is rapidly advancing and the ambulance transport cases
of the elderly are increasing. Among them, acute aortic dissection (AAD)
combined with cardiac tamponade has a high degree of urgency and
severity with an aortic replacement being the radical treatment.
However, elderly patients who were difficult to treat surgically due to
a decline in cognitive function and activities of daily living (ADL) are
increasing. There are no clear guidelines in Japan. In the United
States, it is advisable pericardial drainage (PD) should be performed
only when circulation cannot be maintained before surgery. We reported a
case of AAD with cardiac tamponade in an elderly patient who was treated
by PD and had a good clinical course.