title: Primary lung tumor mimicking acute type A aortic dissection.
abstract: A 64-year-old man presented with clinical features and echocardiographic diagnosis of an acute type A dissection. He underwent median sternotomy for definitive surgical treatment. On external examination of the aorta, other intrapericardial structures, and the right lung, it was evident that the patient had an advanced lung tumor. This was confirmed by frozen-section and histopathologic examinations. Epiaortic scanning showed beyond doubt the presence of a mobile intraaortic mass that had misled us in making the preoperative diagnosis of an acute type A dissection.
authors.affiliation: Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands. usonker@hotmail.com
authors.forename: Uday
authors.initials: U
authors.lastname: Sonker
authors.forename: Dirk F P M
authors.initials: DF
authors.lastname: Peek
authors.forename: Jacoba J C
authors.initials: JJ
authors.lastname: van der Meij
authors.forename: Robin H
authors.initials: RH
authors.lastname: Heijmen
authors.forename: Cornelis A
authors.initials: CA
authors.lastname: Seldenrijk
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Knaepen
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D005629:Frozen Sections; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D014463:Ultrasonography