Pulmonary artery dissection in a patient with idiopathic dilatation of the pulmonary artery: a rare cause of sudden cardiac death.

Andrews, Richard; Colloby, P.; Hübner, Peter

doi:10.1136/hrt.69.3.268

Cited by 29 publications

(14 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pulmonary artery dissection is a very unusual event. As far as we could ascertain from a Medline survey of the English literature, only 50 cases have been recorded 1–27 . According to Shilkin et al, 2 the first case of the condition was reported by Helmbrecht in 1842.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary artery dissection in patients without underlying pulmonary hypertension

2001

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Pulmonary artery dissection in patients without underlying pulmonary hypertension

2001

View full text Add to dashboard Cite

show abstract

“…Entre os 5 casos rotulados como patoló-gicos, 2 com miocardiopatia dilatada e 1 com Insuficiência mitral certamente devem ser acompanhados. Os 2 casos de dilatação idiopática do tronco pulmonar podem ser considerados benignos, porém, relato recente de complicação a longo prazo 19 , questiona a benignidade desse achado. A técnica inadequada na realização do exame assim como a análise incorreta do possível aumento de câmaras foram os motivos que resultaram no encaminhamento da criança.…”

Section: Discussionunclassified

Cardiac evaluation in children with suspected heart disease. Preliminary results in 2000 patients.

Ft¹,

Ja²,

Ma³

1995

J Pediatr (Rio J)

View full text Add to dashboard Cite

209 IntroduçãoO índice de suspeita de cardiopatia, quando da assistên-cia primária à criança, é considerado elevado, principalmente, quando se considera que o sopro cardíaco ocorra em 50% da população pediátrica 1,2,3 . Essa é a causa mais freqüente de encaminhamento ao cardiologista pediátrico. Outras causas como dor torácica, cansaço e/ou dispnéia em repouso e durante esforço são menos freqüentes porém importante na avaliação pediátrica inicial. O objetivo deste trabalho é apresentar a experiência de um ambulatório de cardiologia pediátrica da rede pública de saúde. Serão apresentados os resultados iniciais de um estudo prospectivo realizado em 2000 crianças consecutivas encaminhadas para avaliação cardiológica pediátrica. Serão discutidos faixa etária, motivo do encaminhamento da criança, diagnóstico definitivo e necessidade terapêutica em unidade terciária. Material e MétodosA grande maioria dos casos foi encaminhada a partir das 32 Unidades Básicas de Saúde (UBS) existentes na cidade de Ribeirão Preto, em que assistência pediátrica primária é oferecida diariamente. O tempo de estudo foi de setembro/ 1990 à Dezembro/1992 (27 meses). Todos os pacientes foram clinicamente com anamnese e exame físico dirigido ao sistema cardiovascular, em condições ambulatoriais adequadas. A partir do exame clínico, foi elaborado um diag- AbstractTwo thousand consecutive children have been evaluated for suspected heart disease in a 27-month period. The main reasons for referral were: murmur (70%), precordial pain (9.5%), suspicion of arrhythmia (8.5%) and breathless (5%). Five hundred and six (25%) cases did not complete the investigation and the results were not computed. A final diagnosis was obtained based on the reason for referral and the main conclusions were: 1) a high incidence of normality was found: murmur (83%), pain (98%), arrhythmia (97%) and breathless (94%); 2) heart disease is unlikely when other referral reasons were analyzed; 3) 14% of the children were considered abnormal and the necessity of therapeutic procedures was 0.8%. A pediatric cardiology outpatient clinic in a public setting seems to be justifiable in the region, due to the high current demand.J. pediatr. (Rio J.). 1995; 71(4):209-213: heart diseases, child, incidence, epidemiology. ResumoDentro de um período de 27 meses, 2000 crianças consecutivas foram encaminhadas com suspeita de cardiopatia. As causas de encaminhamento foram bastante variadas, sendo as mais freqüentes o sopro cardíaco (70%), dor precordial (9,5%), suspeita de arritmia (8,5%) e cansaço/dispnéia (5%). Quinhentas e seis (25%) crianças não completaram a investigação diagnóstica e não foram incluídas na análise dos resultados. Analisou-se o diagnós-tico definitivo baseado nos motivos de encaminhamento, e as conclusões principais foram as seguintes: 1) a incidência de normalidade foi importante, baseada no motivo de encaminhamento: sopro (83%), dor (98%), arritmia (97%) e cansaço/ dispnéia (94%); 2) é remota a possibilidade de cardiopatia quando outros motivos de encaminhamento foram ...

show abstract

“…Whether medial degeneration causes the dissection, predisposes to intimal tears, or is simply the result of chronically elevated intravascular pressure remains controversial. 47 Approximately 70 cases of PAD have been described, [43][44][45][46][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] of which almost 10 were diagnosed during life. 43,[65][66][67][68][69] Congenital heart disease was the underlying condition in the majority of cases, with the patent ductus arteriosus representing the most common defect.…”

Section: Pulmonary Artery Dissection and Rupturementioning

confidence: 99%

Complications Leading to Sudden Cardiac Death in Pulmonary Arterial Hypertension

Demerouti

Manginas²,

Athanassopoulos

et al. 2012

Respir Care

View full text Add to dashboard Cite

SummaryPulmonary arterial hypertension (PAH) is a disease of small pulmonary arteries, characterized by vascular proliferation and remodeling. Progressive increase in pulmonary vascular resistance ultimately leads to right ventricular heart failure and death. PAH-specific drug therapy has improved clinical outcomes and survival. While the survival is better, progression of pulmonary vasculopathy contributes to pulmonary artery dilatation. Left main compression syndrome, pulmonary artery dissection, pulmonary artery rupture, and severe hemoptysis are reported as complications leading to sudden cardiac death, an event encountered more often in PAH patients. The advent of PAHtargeted drug therapy has reduced referral for lung transplantation; however, severe complications require rapid diagnosis, decision making, and possible registration on a lung transplantation waiting list. PAH referral centers provide multidisciplinary emergency care and specific therapeutic management, contributing to improved quality of life and survival for PAH patients. We review the complications leading to sudden death in PAH. Key words: pulmonary hypertension; pulmonary artery dissection; pulmonary artery rupture; left main compression syndrome. [Respir Care 2013;58(7):1246 -1254.

show abstract

Pulmonary artery dissection in a patient with idiopathic dilatation of the pulmonary artery: a rare cause of sudden cardiac death.

Cited by 29 publications

References 9 publications

Pulmonary artery dissection in patients without underlying pulmonary hypertension

Pulmonary artery dissection in patients without underlying pulmonary hypertension

Cardiac evaluation in children with suspected heart disease. Preliminary results in 2000 patients.

Complications Leading to Sudden Cardiac Death in Pulmonary Arterial Hypertension

Contact Info

Product

Resources

About