{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:32:45Z","timestamp":1755225165095,"version":"3.43.0"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>Constrictive pericarditis, often resulting from pericardial adhesions secondary to chest radiotherapy or cardiac surgery, generally carries a favorable prognosis when surgical intervention is performed early. In contrast, extensive acute aortic dissection is associated with a significantly higher mortality rate, highlighting the critical importance of timely surgical intervention to improve patient outcomes. Here, we present a case involving a patient with a ruptured Stanford type A aortic dissection complicated by constrictive pericarditis, which led to the formation of a large pseudoaneurysm causing severe compression of the right atrium and markedly increasing the risk of mortality. The patient underwent successful emergency one-stage surgery and was discharged with a favorable recovery. This report uniquely highlights the management of two life-threatening conditions\u2014type A aortic dissection and constrictive pericarditis\u2014in a single surgical procedure, aiming to enhance patient survival and minimize complications. This case not only illustrates a successful life-saving intervention but also provides a strategic framework for cardiac surgeons, encouraging them to address complex, high-risk cases with an integrated approach.<\/jats:p>","DOI":"10.3389\/fcvm.2025.1583332","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T06:33:26Z","timestamp":1755066806000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of complicated Stanford type A aortic dissection with subdural haematoma due to constrictive pericarditis\u2014a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Weibo","family":"He","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongmei","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyuan","family":"Yao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linglin","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"B1","first-page":"1555","article-title":"Constrictive pericarditis","volume-title":"Circ J","author":"Sengupta","year":"2008"},{"key":"B2","first-page":"616","article-title":"Acute transient effusive-constrictive 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