Acute concomitant pulmonary artery and aortic dissection with rupture

Hsian He Hsu, Ching Tzao, Chien Sung Tsai, Guang Huang Sun, Cheng Yu Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Pulmonary artery (PA) dissection is uncommon and may lead to rupture and sudden death if encountered. A 63-year-old man presented to our emergency room with episodic left chest pain radiating to the back followed by shortness of breath. A 64-row multidetector computed tomography (MDCT) revealed ruptured dissection of the PA and the aorta with hemopericardium, hemomediastinum, and prominent extravasated blood along the central bronchovascular bundles of both lungs. The patient experienced cardiogenic shock immediately following CT study and died after resuscitation. Concomitant PA and aortic dissection with rupture is extremely rare with the pathogenesis remaining investigated. MDCT proves to be a powerful tool in its diagnosis for a timely surgical repair if the patient could survive to have the operation.

Original languageEnglish
Pages (from-to)411-414
Number of pages4
JournalInternational Journal of Cardiovascular Imaging
Volume23
Issue number3
DOIs
Publication statusPublished - Jun 2007
Externally publishedYes

Keywords

  • Aortic dissection
  • Multi-detector computed tomography
  • Pulmonary artery dissection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine
  • Radiological and Ultrasound Technology

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