Pulmonary artery dissection—A review of 150 cases

Fernando, Dinesh; Thilakarathne, S. M. N. K.; Wickramasinghe, Chathula

doi:10.1016/j.hrtlng.2019.02.007

Cited by 24 publications

(35 citation statements)

References 55 publications

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“…The pulmonary trunk was the site of dissection in 73% of cases. The most severe complication of PA dissection was cardiac tamponade from hemopericardium and was observed at autopsy in 84.2% of cases (86).…”

Section: Question No 3: How Does Imaging Determine the Severity And mentioning

confidence: 99%

Imaging of Pulmonary Hypertension in Adults: A Position Paper from the Fleischner Society

Rémy‐Jardin¹,

Ryerson²,

Schiebler³

et al. 2021

Radiology

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Section: Question No 3: How Does Imaging Determine the Severity And mentioning

confidence: 99%

Imaging of Pulmonary Hypertension in Adults: A Position Paper from the Fleischner Society

Rémy‐Jardin¹,

Ryerson²,

Schiebler³

et al. 2021

Radiology

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“…Indeed, among approximately 150 cases of PA dissection reported in the literature, 34% involved a post‐mortem diagnosis 6 . For patients who present with PA dissection, surgery has been suggested as the definitive treatment, although fewer than 40 successful operations have been reported, 6 most of which involved young patients and without presentation or discussion of operative strategy. Thus, the surgical management of older patients with PA dissection remains a clinical challenge that is inadequately explored.…”

Section: Discussionmentioning

confidence: 99%

Successful beating‐heart repair of pulmonary artery dissection using a composite valve‐tube graft

et al. 2021

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Pulmonary artery dissection is rare but highly lethal. Recent reports suggest that surgical repair of pulmonary artery dissection may yield good outcomes in selected patients, although postoperative right ventricular failure and death have been described. Currently, only one patient over age 60 years old has been reported to survive open surgical repair of pulmonary artery dissection. Here, we present the case of a sexagenarian with pulmonary artery hypertension complicated by a dissected pulmonary artery aneurysm which was successfully repaired using a composite valve‐tube graft under a beating‐heart strategy.

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“…Considering the lethality of PAD, it should be carefully diagnosed and monitored. Fernando et al reviewed whether patients with PAD were diagnosed antemortem, and 70.5% of diagnosed patients survived [7]. Therefore, immediate surgery is recommended once PAD is detected.…”

Section: Discussionmentioning

confidence: 99%

A case of giant main pulmonary artery aneurysm associated with complicated congenital heart disease and simultaneous chronic pulmonary artery dissection

Wang

Chen

Peng

et al. 2020

J Cardiothorac Surg

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Background: Pulmonary artery aneurysm (PAA), usually associated with congenital heart disease (CHD), is a very rare clinical condition. Pulmonary artery dissection (PAD) is considered the most life-threatening complication of PAA, and patients can progress from being asymptomatic to sudden death. We report the following case of PAA associated with complicated congenital heart disease and simultaneous chronic PAD. To our knowledge, few such complicated cases have ever been reported. Case presentation: A 36-year-old male presented to our hospital with a 10-year history of heart fatigue after activities and aggravated for 2 years. Computed tomography angiography (CTA) and echocardiogram showed a giant main pulmonary artery aneurysm (14 cm) with complicated congenital heart disease (a small patent ductus arteriosus, ventricular septal defects, aortic coarctation). Chronic PAD, which was mistaken for a pulmonary valve before operation, was detected during surgery. Conclusions: PAA associated with complicated CHD and simultaneous PAD is very rare, and its clinical symptoms are varied. Radiologists and surgeons should pay attention to determining whether this patient simultaneously had PAD when PAA was detected on preoperative CTA imaging.

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Pulmonary artery dissection—A review of 150 cases

Cited by 24 publications

References 55 publications

Imaging of Pulmonary Hypertension in Adults: A Position Paper from the Fleischner Society

Imaging of Pulmonary Hypertension in Adults: A Position Paper from the Fleischner Society

Successful beating‐heart repair of pulmonary artery dissection using a composite valve‐tube graft

A case of giant main pulmonary artery aneurysm associated with complicated congenital heart disease and simultaneous chronic pulmonary artery dissection

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