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No abstract

An elderly woman underwent placement of a pacemaker lead which was complicated by accidental azygos vein cannulation and perforation. However not a very uncommon complication, we report here several findings on CT-angiogram which highlight imaging pitfalls of this entity. We also review how the case was clinically managed.

Hemorrhagic extension along the pulmonary arteries should be recognized as a complication of Stanford type A aortic dissection. Radiologists and other physicians with an interest in cardiothoracic imaging should be aware of this rare but life-threatening pathology. The anatomical concept of the pathology is outlined in this text, through high-quality electrocardiogram-gated computerized tomography images.

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