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

Fingerprint

Pulmonary Artery
Dissection
Rupture
Multidetector Computed Tomography
Cardiogenic Shock
Pericardial Effusion
Sudden Death
Chest Pain
Resuscitation
Dyspnea
Aorta
Hospital Emergency Service
Lung

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

Cite this

Acute concomitant pulmonary artery and aortic dissection with rupture. / Hsu, Hsian He; Tzao, Ching; Tsai, Chien Sung; Sun, Guang Huang; Chen, Cheng Yu.

In: International Journal of Cardiovascular Imaging, Vol. 23, No. 3, 06.2007, p. 411-414.

Research output: Contribution to journalArticle

Hsu, Hsian He ; Tzao, Ching ; Tsai, Chien Sung ; Sun, Guang Huang ; Chen, Cheng Yu. / Acute concomitant pulmonary artery and aortic dissection with rupture. In: International Journal of Cardiovascular Imaging. 2007 ; Vol. 23, No. 3. pp. 411-414.
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