Extensive Bilateral Extraluminal Perivascular Pulmonary Haemorrhage Associated with Stanford Type A Aortic Dissection

Reid, Angeline; Stride, Peter; Hunter, Jonathan; Liew, Katerina; Wood, Tom E.; Seleem, Mostafa

doi:10.1155/2011/681643

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Lower extremity symptoms were indicative of malperfusion and were frequently associated with renal and visceral perfusion, with a poor prognosis (33). All three patients with lower limb symptoms died without surgery in this literature review and one case of dissection involving the right renal artery was reported by Reid et al (18). Therefore, the detailed description of visceral vascular involvement should be included in patients with AD as far as possible, which is of great value to the prognosis and surgical guidance.…”

Section: Clinical Characteristic and Prognosismentioning

confidence: 77%

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Xiao

Zhou

2023

Acta Radiol

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A hemorrhagic aortopulmonary artery sheath (HAPS) is an infrequent and critical complication of aortic dissection (AD), which is caused by a hematoma extending through the ruptured aortic wall into the aortopulmonary artery sheath. The adventitial hematoma might narrow or even occlude the lumen of the pulmonary arteries and extend into the pulmonary interstitium and alveoli. The prompt and accurate recognition of HAPS on computed tomography (CT) is crucial and might assist in the diagnosis of unidentifiable AD. HAPS was manifested as high attenuation areas surrounded the pulmonary arteries without enhancement on CT; even thickened bronchovascular sheath and ground-glass consolidations surrounded bronchovascular distribution, which might be associated with the prognosis. Aggressive and effective surgical treatment is the primary determinant of short-term survival.

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Section: Clinical Characteristic and Prognosismentioning

confidence: 77%

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Xiao

Zhou

2023

Acta Radiol

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“…Previous reports have suggested that HPS is a common complication of Stanford-A AAD [14]. Due to the poor evidences, previous studies used different terms to describe this complication such as intrahepatic hematoma [15,16], pulmonary sphincter hematoma [17], blood in ltration of the aorta and pulmonary vascular adventitia [18], and hemorrhage along the pulmonary sheath [19], extraluminal perivascular hemorrhage [20], and hemorrhage along the pulmonary artery [21][22][23]. The results of HPS in chest radiographs examination varies according to the range of bleeding (normal to double lung aky in ltration) [24][25].…”

Section: Introductionmentioning

confidence: 99%

Risk factors analysis of HPS patients with acute Stanford A aortic dissection

Xie¹,

Qin²,

Lin³

et al. 2019

Preprint

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Background: AAD refers to the blood flow into the middle membrane through the intimal rupture of the aorta. HPS is a common complication of Stanford-A AAD. The risk factors of HPS are remaining unclear Methods: In this study, we have probed the potential risk factors of hepatopulmonary syndrome (HPS) patients with acute Stanford A aortic dissection. 18 HPS patients with acute Stanford A aortic dissection were selected as case group. 36 Normal people were considerate as control group. Demographic data, treatment methods, AD related disease history, clinical symptoms and Charlson comorbidity index (CCI) values of each patient were collected. Meanwhile, the values of maximum diameter of ascending aorta (mm), aortic dissection range, and main branch of aorta, pleural effusion/blood, and pericardial effusion/blood were measured by two experienced cardiovascular radiological physicians. Univariate and multivariate conditional logistic regression analysis were used in this study. Results: CCI value and the branches of the brachiocephalus in case group were significant higher than that in control group (p<0.05). Univariate conditional logistic regression analysis showed CCI and branches of the brachiocephalus were associated with HPS. Multivariate conditional logistic regression analysis suggested that branches of the brachiocephalus was an independent risk factor for HPS (OR=7.02, 95%CI=1.28-38.62, p=0.025). Conclusions: Branches of the brachiocephalus were an independent risk factor for HPS.

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“…Previous reports have suggested that HPS is a common complication of Stanford-A AAD [14]. Due to the poor evidence, previous studies used different terms to describe this complication such as intrahepatic hematoma [15,16], pulmonary sphincter hematoma [17], blood infiltration of the aorta and pulmonary vascular adventitia [18], and hemorrhage along the pulmonary sheath [19], extraluminal perivascular hemorrhage [20], and hemorrhage along the pulmonary artery [21][22][23]. The results of HPS in chest radiographs examination varies according to the range of bleeding (normal to double lung flaky infiltration) [24][25].…”

mentioning

confidence: 99%

Branches of the brachiocephalic was an independent risk factor for hemorrhagic pulmonary sheath (HPS) patients with acute Stanford A aortic dissection

Xie¹,

Qin²,

Lin

et al. 2020

Preprint

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Background: AAD refers to the blood flow into the middle membrane through the intimal rupture of the aorta. Hemorrhagic pulmonary sheath (HPS) is a common complication of Stanford-A AAD. The risk factors of HPS are remaining unclear Methods: In this study, we have probed the potential risk factors of HPS patients with acute Stanford A aortic dissection. 18 HPS patients with acute Stanford A aortic dissection were selected as the case group. The age difference ± 5 years and the same sex are set as the matching principles. 36 patients with acute Stanford-A type AD who did not detect HPS in the same period were matched according to the ratio of 1:2. Demographic data, treatment methods, AD-related disease history, clinical symptoms and Charlson comorbidity index (CCI) values of each patient were collected. Meanwhile, the values of the maximum diameter of ascending aorta (mm), aortic dissection range, and the main branch of the aorta, pleural effusion/blood, and pericardial effusion/blood were measured by two experienced cardiovascular radiological physicians. Univariate and multivariate conditional logistic regression analysis was used in this study. Results: CCI value and the branches of the brachiocephalic in the case group were significantly higher than those in the control group (p<0.05). Univariate conditional logistic regression analysis showed CCI and branches of the brachiocephalic were associated with HPS. Multivariate conditional logistic regression analysis suggested that branches of the brachiocephalic were an independent risk factor for HPS (OR=7.02, 95%CI=1.28-38.62, p=0.025). Conclusions: Branches of the brachiocephalic were an independent risk factor for HPS.

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Extensive Bilateral Extraluminal Perivascular Pulmonary Haemorrhage Associated with Stanford Type A Aortic Dissection

Abstract: We present the case of an 80-year old man with a Stanford Type A dissecting thoracic aortic aneurysm plus the unusual CT finding of extramural haemorrhage along the pulmonary vessels. The clinical and radiological picture has an extremely high mortality

Cited by 5 publications

References 4 publications

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Risk factors analysis of HPS patients with acute Stanford A aortic dissection

Branches of the brachiocephalic was an independent risk factor for hemorrhagic pulmonary sheath (HPS) patients with acute Stanford A aortic dissection

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