Surgical repair of pulmonary artery dissection

Etiological classification and manifestation of pulmonary artery dissection: A literature review and case analysis

“…The group of non-CHD associated-PH included idiopathic pulmonary arterial hypertension (19 cases) [ 2 , 22 , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] ], chronic obstructive pulmonary disease (8 cases) [ 1 , 9 , 10 , 37 , [39] , [40] , [41] ], pulmonary hypertension associated with liver disease (4 cases) [ 37 , 42 , 43 ], and pulmonary thromboembolic disease (3 cases) [ 44 , 45 ] ( Fig. 4 C).…”

“…2006 [ 29 ] 30y M TEE and pulmonary arteriography PA trunk to RPA PAD repairmen Survived COPD Rousou, A. J. 2010 [ 39 ] 72y F Echo and TEE PA trunk Surgery (NA) NA Melanoma metastasis to the lung Cal Johan Malm 2015 [ 83 ] 55y M CTA PA trunk PAD repairmen Died of cardiogenic shock after surgery Malignant melanoma history Perrotta, S 2015 [ 77 ] 55y M CTA PA trunk T-shaped replacement of PA Died of multiorgan failure Right thigh melanoma history; IPAH Savic 2019 [ 78 ] 65y F CTA PA trunk to the RPA Salvage surgery of PA replacement with T-shaped graft Died of multiorgan failure after surgery PAH Steger A 2020 [ 80 ] 75y F MRI PA trunk PA aneurysm resection and replacement Died 2 weeks after surgery Iotrogenic during Swan-Ganz Tayoro J 1997 [ 49 ] 75y F Angiogram ...…”

Pulmonary Artery Dissection

“…Patients with PAD who are not deemed to be suitable for surgery because of high surgical risk are treated with medical therapy with diuretics and vasodilators. However, despite a few cases successfully treated by conservative management, the risk of rupture into the pericardium or other intrathoracic structures, leading to sudden death, should be kept in mind …”

“…To date, only a few cases of PAD treated surgically have been reported in the literature, and a definitive approach has not yet been established …”

Conservative Management of Pulmonary Artery Dissection

“…Patients with PAD who are not deemed to be suitable for surgery are treated with medical therapy with diuretics and vasodilators. However, despite a few cases successfully treated by conservative management, the risk of rupture into the pericardium or other intrathoracic structures, leading to sudden death, should be kept in mind [13]. The justification or the constraint on the choice of medical treatment in our context is the absence of adequate surgical equipment to carry out such a complex surgical procedure.…”