title: Aortic dissection with extension to a patent ductus arteriosus.
abstract: An 81-year-old woman presented with shortness of breath and fever of 3 days duration. An enhanced CT of the chest revealed a patent ductus arteriosus (PDA) communicating with the true lumen of an aortic arch dissection. Neither the aortic dissection nor the PDA was suspected. The patient had no history of a connective tissue abnormality or other condition which would predispose to dissection other than systemic hypertension. It is likely that propagation of the aortic dissection partially re-opened the ductus arteriosus.
authors.affiliation: Department of Medicine, New York Methodist Hospital, New York, NY, USA.
authors.forename: Emir
authors.initials: E
authors.lastname: Festic
authors.forename: Robert M
authors.initials: RM
authors.lastname: Steiner
authors.forename: Eileen
authors.initials: E
authors.lastname: Spatz
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis*; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000000981:diagnostic imaging*; D004452:Echocardiography; D005260:Female; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000150:complications / Q000175:diagnosis; D014057:Tomography, X-Ray Computed