Right pulmonary artery occlusion by an acute dissecting aneurysm of the ascending aorta.
We describe the case of a 76-year old female who presented with a Type A aortic dissection requiring repair with an interposition graft and aortic valve replacement. Post-operatively she had clinical features and computerised tomographic images suggestive of a pulmonary embolus and died 24 hours later. The extremely rare finding of intramural thrombus occluding the right pulmonary artery was seen at post mortem.
De Silva
Ravi J
RJ
Papworth Hospital NHS Trust, Papworth Everard, Cambridgeshire CB3 8RE, UK. ravijdesilva@doctors.org.uk
Hosseinpour
Reza
R
Screaton
Nicholas
N
Stoica
Serban
S
Goodwin
Andrew T
AT
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications*; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D011651:Pulmonary Artery