Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report

Pulmonary arterial dissection (PAD) is a rare and often lethal complication of chronic pulmonary arterial hypertension (PAH), which may occurs in patients with idiopathic pulmonary arterial hypertension (IPAH) and potentially in those with connective tissue disorders. While rare, sudden death often...

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Autores principales:	Luis Regalado, BS, MSc, Carol Vitellas, BA, Lindsay Wright, MD, Asvin Ganapathi, MD, Bryan A. Whitson, MD, PhD, Chiemezie Chianotu Amadi, MD, MA
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Pulmonary hypertension Pulmonary artery aneurysm Pulmonary arterial hypertension Idiopathic pulmonary arterial hypertension Pulmonary artery dissection Lung transplantation Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/979482b0c26b4674a9e890ffde928155
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spelling	oai:doaj.org-article:979482b0c26b4674a9e890ffde9281552021-11-30T04:15:18ZPulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report1930-043310.1016/j.radcr.2021.10.033https://doaj.org/article/979482b0c26b4674a9e890ffde9281552022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007494https://doaj.org/toc/1930-0433Pulmonary arterial dissection (PAD) is a rare and often lethal complication of chronic pulmonary arterial hypertension (PAH), which may occurs in patients with idiopathic pulmonary arterial hypertension (IPAH) and potentially in those with connective tissue disorders. While rare, sudden death often occurs secondary to acute cardiac tamponade, as the pulmonary artery dissects into the pericardium; this diagnosis is often made postmortem. Nevertheless, with the proliferation of multidetector computed tomography (MDCT) as a diagnostic test, patients may be identified very early after symptom onset, prompting rapid intervention with decreased morbidity and mortality. We report a case of IPAH complicated by pulmonary artery aneurysm (PAA) and PAD, diagnosed by CT pulmonary angiogram (CTPA), and treated with bilateral lung transplantation, pulmonic valve replacement, and re-anastomosis of the donor main PA to a pulmonary valve conduit.Luis Regalado, BS, MScCarol Vitellas, BALindsay Wright, MDAsvin Ganapathi, MDBryan A. Whitson, MD, PhDChiemezie Chianotu Amadi, MD, MAElsevierarticlePulmonary hypertensionPulmonary artery aneurysmPulmonary arterial hypertensionIdiopathic pulmonary arterial hypertensionPulmonary artery dissectionLung transplantationMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 227-231 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pulmonary hypertension Pulmonary artery aneurysm Pulmonary arterial hypertension Idiopathic pulmonary arterial hypertension Pulmonary artery dissection Lung transplantation Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Pulmonary hypertension Pulmonary artery aneurysm Pulmonary arterial hypertension Idiopathic pulmonary arterial hypertension Pulmonary artery dissection Lung transplantation Medical physics. Medical radiology. Nuclear medicine R895-920 Luis Regalado, BS, MSc Carol Vitellas, BA Lindsay Wright, MD Asvin Ganapathi, MD Bryan A. Whitson, MD, PhD Chiemezie Chianotu Amadi, MD, MA Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report
description	Pulmonary arterial dissection (PAD) is a rare and often lethal complication of chronic pulmonary arterial hypertension (PAH), which may occurs in patients with idiopathic pulmonary arterial hypertension (IPAH) and potentially in those with connective tissue disorders. While rare, sudden death often occurs secondary to acute cardiac tamponade, as the pulmonary artery dissects into the pericardium; this diagnosis is often made postmortem. Nevertheless, with the proliferation of multidetector computed tomography (MDCT) as a diagnostic test, patients may be identified very early after symptom onset, prompting rapid intervention with decreased morbidity and mortality. We report a case of IPAH complicated by pulmonary artery aneurysm (PAA) and PAD, diagnosed by CT pulmonary angiogram (CTPA), and treated with bilateral lung transplantation, pulmonic valve replacement, and re-anastomosis of the donor main PA to a pulmonary valve conduit.
format	article
author	Luis Regalado, BS, MSc Carol Vitellas, BA Lindsay Wright, MD Asvin Ganapathi, MD Bryan A. Whitson, MD, PhD Chiemezie Chianotu Amadi, MD, MA
author_facet	Luis Regalado, BS, MSc Carol Vitellas, BA Lindsay Wright, MD Asvin Ganapathi, MD Bryan A. Whitson, MD, PhD Chiemezie Chianotu Amadi, MD, MA
author_sort	Luis Regalado, BS, MSc
title	Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report
title_short	Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report
title_full	Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report
title_fullStr	Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report
title_full_unstemmed	Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report
title_sort	pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: a case report
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/979482b0c26b4674a9e890ffde928155
work_keys_str_mv	AT luisregaladobsmsc pulmonaryarterydissectioninlongstandingidiopathicpulmonaryarterialhypertensionacasereport AT carolvitellasba pulmonaryarterydissectioninlongstandingidiopathicpulmonaryarterialhypertensionacasereport AT lindsaywrightmd pulmonaryarterydissectioninlongstandingidiopathicpulmonaryarterialhypertensionacasereport AT asvinganapathimd pulmonaryarterydissectioninlongstandingidiopathicpulmonaryarterialhypertensionacasereport AT bryanawhitsonmdphd pulmonaryarterydissectioninlongstandingidiopathicpulmonaryarterialhypertensionacasereport AT chiemeziechianotuamadimdma pulmonaryarterydissectioninlongstandingidiopathicpulmonaryarterialhypertensionacasereport
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Pulmonary artery dissection in long standing idiopathic pulmonary arterial hypertension: A case report

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