TY - JOUR
T1 - Acute Aortic Dissection Extending Into the Lung
AU - Makdisi, George
AU - Said, Sameh M.
AU - Schaff, Hartzell V.
N1 - Publisher Copyright:
© 2015 The Society of Thoracic Surgeons.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - The radiologic manifestations of ruptured acute aortic dissection, Stanford type A aortic dissection, DeBakey type 1 can present in different radiographic scenarios with devastating outcomes. Here, we present a rare case of a 70-year-old man who presented to the emergency department with chest pain radiating to the back. A chest computed tomography scan showed a Stanford type A, DeBakey type 1, acute aortic dissection ruptured into the aortopulmonary window and stenosing the pulmonary trunk, both main pulmonary arteries, and dissecting the bronchovascular sheaths and flow into the pulmonary interstitium, causing pulmonary interstitial hemorrhage. The patient underwent emergent ascending aorta replacement with hemiarch replacement with circulatory arrest. The postoperative course was unremarkable.
AB - The radiologic manifestations of ruptured acute aortic dissection, Stanford type A aortic dissection, DeBakey type 1 can present in different radiographic scenarios with devastating outcomes. Here, we present a rare case of a 70-year-old man who presented to the emergency department with chest pain radiating to the back. A chest computed tomography scan showed a Stanford type A, DeBakey type 1, acute aortic dissection ruptured into the aortopulmonary window and stenosing the pulmonary trunk, both main pulmonary arteries, and dissecting the bronchovascular sheaths and flow into the pulmonary interstitium, causing pulmonary interstitial hemorrhage. The patient underwent emergent ascending aorta replacement with hemiarch replacement with circulatory arrest. The postoperative course was unremarkable.
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U2 - 10.1016/j.athoracsur.2014.08.060
DO - 10.1016/j.athoracsur.2014.08.060
M3 - Article
C2 - 26140779
AN - SCOPUS:84933501657
SN - 0003-4975
VL - 100
SP - 315
EP - 318
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
M1 - 27499
ER -