MediAI

  Keywords: Aortic dissection, haemopericardium, Stanford type A dissection, CT imaging, acute chest pain, emergency radiology, cardiovascular emergency, pericardial tamponade, thoracic aorta, cardiovascular imaging Introduction Aortic dissection with haemopericardium represents one of the most catastrophic cardiovascular emergencies, carrying an exceptionally high mortality rate without immediate diagnosis and intervention. This life-threatening condition arises when an intimal tear in the aortic wall allows blood to enter the media, creating a false lumen that may rupture into the pericardial sac, leading to haemopericardium and potentially fatal cardiac tamponade. Rapid recognition and urgent management are crucial. This comprehensive review provides an expert-level synthesis of the pathophysiology, epidemiology, clinical presentation, imaging features, differential diagnosis, diagnostic strategy, treatment, and prognosis of aortic dissection with haemopericardium, grounded in...