Pulmonary artery dissection and rupture associated with aortopulmonary window.
A 31-year-old man with uncorrected aortopulmonary window and fixed pulmonary hypertension experienced dissection of the pulmonary artery, rapidly complicated by a fatal spontaneous rupture into the pericardium. In the setting of pulmonary hypertension, the diagnosis of dissection and rupture of the pulmonary artery should be considered in cases of thoracic pain or cardiogenic shock.
Le Bret
Emmanuel
E
Department of Cardiac Pathology, Institut Mutualiste Montsouris, Paris, France. emmanuel.lebret@imm.fr
Lupoglazoff
Jean Marc
JM
Bachet
Jean
J
Carbognani
Daniel
D
Bouabdallah
Kamel
K
Folliguet
Thierry
T
Laborde
François
F
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery; D001011:Aorta / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001021:Aortic Valve / Q000000981:diagnostic imaging; D001027:Aortography; D002637:Chest Pain / Q000209:etiology; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D007431:Intraoperative Complications; D008297:Male; D018447:Medical Futility; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011664:Pulmonary Valve / Q000000981:diagnostic imaging; D012422:Rupture, Spontaneous; D012770:Shock, Cardiogenic / Q000209:etiology; D036542:Tomography, Spiral Computed; D014463:Ultrasonography