Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta

<p>Abstract</p> <p>Background</p> <p>The occurrence of pulmonary artery obstruction in the course of acute aortic dissection is an unusual complication. The mechanism implicated is the rupture of the outer layer of the aorta and the subsequent hemorrhage into the advent...

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Main Authors: Lardani Héctor, Spernanzoni Fernando, Redondo Juan, Sanchez Gustavo, Lombardero Martín, Goerner María S, Munín Martín, Torres Víctor
Format: Article
Language:English
Published: BMC 2007-01-01
Series:Cardiovascular Ultrasound
Online Access:http://www.cardiovascularultrasound.com/content/5/1/1
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author Lardani Héctor
Spernanzoni Fernando
Redondo Juan
Sanchez Gustavo
Lombardero Martín
Goerner María S
Munín Martín
Torres Víctor
author_facet Lardani Héctor
Spernanzoni Fernando
Redondo Juan
Sanchez Gustavo
Lombardero Martín
Goerner María S
Munín Martín
Torres Víctor
author_sort Lardani Héctor
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The occurrence of pulmonary artery obstruction in the course of acute aortic dissection is an unusual complication. The mechanism implicated is the rupture of the outer layer of the aorta and the subsequent hemorrhage into the adventitia of the pulmonary artery that causes its wall thickening and, at times, produces extrinsic obstruction of the vessel. There are no reports of this complication in acute intramural hematoma.</p> <p>Case presentation</p> <p>An 87-year-old woman was admitted to the hospital in shock after having had severe chest pain followed by syncope. An urgent transesophageal echocardiogram revealed the presence of acute intramural hematoma, no evidence of aortic dissection, severe pericardial effusion with cardiac tamponade, and periaortic hematoma that involved the pulmonary artery generating circumferential wall thickening of its trunk and right branch with no evidence of flow obstruction. Urgent surgery was performed but the patient died in the operating room. The post mortem examination, in the operating room, confirmed that there was an extensive hematoma around the aorta and beneath the adventitial layer of the pulmonary artery, with no evidence of flow obstruction.</p> <p>Conclusion</p> <p>This is the first time that this rare complication is reported in the scenario of acute intramural hematoma and with the transesophageal echocardiogram as the diagnostic tool.</p>
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spelling doaj.art-dede80b3e7cd42329c38502c93e0126b2022-12-21T19:07:25ZengBMCCardiovascular Ultrasound1476-71202007-01-0151110.1186/1476-7120-5-1Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aortaLardani HéctorSpernanzoni FernandoRedondo JuanSanchez GustavoLombardero MartínGoerner María SMunín MartínTorres Víctor<p>Abstract</p> <p>Background</p> <p>The occurrence of pulmonary artery obstruction in the course of acute aortic dissection is an unusual complication. The mechanism implicated is the rupture of the outer layer of the aorta and the subsequent hemorrhage into the adventitia of the pulmonary artery that causes its wall thickening and, at times, produces extrinsic obstruction of the vessel. There are no reports of this complication in acute intramural hematoma.</p> <p>Case presentation</p> <p>An 87-year-old woman was admitted to the hospital in shock after having had severe chest pain followed by syncope. An urgent transesophageal echocardiogram revealed the presence of acute intramural hematoma, no evidence of aortic dissection, severe pericardial effusion with cardiac tamponade, and periaortic hematoma that involved the pulmonary artery generating circumferential wall thickening of its trunk and right branch with no evidence of flow obstruction. Urgent surgery was performed but the patient died in the operating room. The post mortem examination, in the operating room, confirmed that there was an extensive hematoma around the aorta and beneath the adventitial layer of the pulmonary artery, with no evidence of flow obstruction.</p> <p>Conclusion</p> <p>This is the first time that this rare complication is reported in the scenario of acute intramural hematoma and with the transesophageal echocardiogram as the diagnostic tool.</p>http://www.cardiovascularultrasound.com/content/5/1/1
spellingShingle Lardani Héctor
Spernanzoni Fernando
Redondo Juan
Sanchez Gustavo
Lombardero Martín
Goerner María S
Munín Martín
Torres Víctor
Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
Cardiovascular Ultrasound
title Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
title_full Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
title_fullStr Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
title_full_unstemmed Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
title_short Thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
title_sort thickening of the pulmonary artery wall in acute intramural hematoma of the ascending aorta
url http://www.cardiovascularultrasound.com/content/5/1/1
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