Korean Circ J.  2024 Dec;54(12):868-869. 10.4070/kcj.2024.0212.

Pulmonary Artery Dissection: Less Is Better When You Are Blue

Affiliations
  • 1Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA
  • 2Department of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ, USA
  • 3Department of Radiology, Mayo Clinic, Scottsdale, AZ, USA


Figure

  • Figure 1 Computed tomography of the chest. (A) Sagittal oblique reconstruction from contrast-enhanced computed tomography angiography of the chest demonstrating a large common semilunar valve/persistent truncus arteriosus overriding a large outlet ventricular septal defect. Left-to-right shunting is visible as less dense blood streams from the left ventricle towards the right. Note the right ventricular hypertrophy. The dissection flap in the left pulmonary artery can also be visualized on this image. (B) Three dimensional reconstruction demonstrating persistent truncus arteriosus. Additionally, noting dissection flap in left pulmonary artery can be visualized.VSD = ventricular septal defect.


Reference

1. Navas Lobato MA, Martín Reyes R, Lurueña Lobo P, et al. Pulmonary artery dissection and conservative medical management. Int J Cardiol. 2007; 119:e25–e26. PMID: 17462754.
Article
2. Walley VM, Virmani R, Silver MD. Pulmonary arterial dissections and ruptures: to be considered in patients with pulmonary arterial hypertension presenting with cardiogenic shock or sudden death. Pathology. 1990; 22:1–4. PMID: 2362776.
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