Pulmonary artery dissection mimicking mediastinal mass.
Pulmonary artery dissection (PAD) is a rare diagnosis that is often made postmortem in patients with pulmonary hypertension. It can be visualized by echocardiography, computed tomography, or magnetic resonance imaging. We present a patient with emphysematous chronic obstructive pulmonary disease and secondary pulmonary hypertension in whom a PAD appeared like a mediastinal mass on computed tomography. The diagnosis was made at autopsy. We think that physicians should consider the possibility of a PAD in patients with chronic pulmonary hypertension who present with dyspnea and chest pain.
Mutlu
Halil
H
Department of Internal Medicine, Berkshire Medical Center, Pittsfield, Massachusetts, USA.
Demir
Ihsan Ekin
IE
Mutlu
Lynn N
LN
Doyle
Daniel
D
D000784:Aortic Dissection / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis*; D006801:Humans; D008479:Mediastinal Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D011651:Pulmonary Artery; D011655:Pulmonary Embolism / Q000175:diagnosis; D019043:Vascular Neoplasms / Q000175:diagnosis*