Fig. 1

(A) Echocardiogram revealing pericardial effusion (red arrow). (B) Aortic CTA showing aortic dissection (yellow arrow). (C) Echocardiogram reveals cardiac rupture (yellow arrow). (D) Aortic CTA also demonstrates cardiac rupture (blue arrow). (E) Aortic CTA does not display aortic dissection(red arrow). (F) Cardiac rupture is observed during surgery (black arrow)