Acquired pulmonary artery branch stenosis caused by pulmonary thromboembolism.
We present a case of acquired pulmonary artery branch stenosis caused by pulmonary thromboembolism. The patient presented with symptoms mimicking aortic dissection. An emergent transesophageal echocardiogram showed a high gradient across the right pulmonary artery along with mobile thrombi. The vital importance making an accurate diagnosis and ruling out aortic dissection is emphasized in view of the need for urgent heparinization or thrombolysis for pulmonary thromboembolism as this is contraindicated in aortic dissection.
Nathan
Manjunath
M
Division of Cardiology, Department of Medicine, Loma Linda University Medical Center, Loma Linda, CA 80033, USA.
Pai
Ramdas G
RG
D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011666:Pulmonary Valve Stenosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants