Pulmonary artery dissection and rupture associated with aortopulmonary window

Ann Thorac Surg. 2004 Oct;78(4):e67-8. doi: 10.1016/j.athoracsur.2004.02.041.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, Ruptured / etiology*
  • Aneurysm, Ruptured / surgery
  • Aorta / abnormalities*
  • Aorta / diagnostic imaging
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / etiology*
  • Aortic Dissection / surgery
  • Aortic Valve / diagnostic imaging
  • Aortography
  • Chest Pain / etiology
  • Death, Sudden, Cardiac / etiology*
  • Fatal Outcome
  • Humans
  • Hypertension, Pulmonary / complications*
  • Intraoperative Complications
  • Male
  • Medical Futility
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Valve / diagnostic imaging
  • Rupture, Spontaneous
  • Shock, Cardiogenic / etiology
  • Tomography, Spiral Computed
  • Ultrasonography