Rupture of an acute ascending aortic dissection causing right pulmonary artery occlusion

Karia, Priyesh; Quddus, Ayyaz; Nayagam, Kesavan; Λαζούρα, Όλγα

doi:10.1259/bjrcr.20210043

Cited by 1 publication

(2 citation statements)

References 4 publications

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“…(iii) Category III (alveolar hemorrhage): continuous hemorrhage extending into the alveoli. CT demonstrated ground-glass opacities or consolidations surrounding the bronchovascular distribution (31).…”

Section: Imaging Characteristic and Prognosismentioning

confidence: 99%

“… Category III (alveolar hemorrhage): continuous hemorrhage extending into the alveoli. CT demonstrated ground-glass opacities or consolidations surrounding the bronchovascular distribution (31). Anatomically, these three categories indicate a progressive process, but radiologically they could exist intersectively or independently.…”

Section: Imaging Characteristic and Prognosismentioning

confidence: 99%

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Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Xiao

Zhou

2023

Acta Radiol

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A hemorrhagic aortopulmonary artery sheath (HAPS) is an infrequent and critical complication of aortic dissection (AD), which is caused by a hematoma extending through the ruptured aortic wall into the aortopulmonary artery sheath. The adventitial hematoma might narrow or even occlude the lumen of the pulmonary arteries and extend into the pulmonary interstitium and alveoli. The prompt and accurate recognition of HAPS on computed tomography (CT) is crucial and might assist in the diagnosis of unidentifiable AD. HAPS was manifested as high attenuation areas surrounded the pulmonary arteries without enhancement on CT; even thickened bronchovascular sheath and ground-glass consolidations surrounded bronchovascular distribution, which might be associated with the prognosis. Aggressive and effective surgical treatment is the primary determinant of short-term survival.

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Section: Imaging Characteristic and Prognosismentioning

confidence: 99%

Section: Imaging Characteristic and Prognosismentioning

confidence: 99%

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Xiao

Zhou

2023

Acta Radiol

View full text Add to dashboard Cite

show abstract

Rupture of an acute ascending aortic dissection causing right pulmonary artery occlusion

Abstract: Rupture of ascending thoracic aortic dissection mimicking pulmonary thromboembolism due to pulmonary artery occlusion is rare and should be considered in hypoxic patients with aortic dissection.

Cited by 1 publication

References 4 publications

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

Acute aortic dissection complicated with hemorrhagic aortopulmonary artery sheath: a review of the literature

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