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Journal of Medical Case Reports

, 3:7426

First Online: 23 July 2009Received: 06 October 2008Accepted: 27 January 2009DOI: 10.4076-1752-1947-3-7426

Cite this article as: Mohammad, K., Sahlol, M., Egiebor, O. et al. J Med Case Reports 2009 3: 7426. doi:10.4076-1752-1947-3-7426


IntroductionThe occurrence of pulmonary artery dissection is extremely rare in patients without pulmonary hypertension, congenital cardiac abnormalities or cardiac intervention. A diagnosis of pulmonary artery dissection is rarely made during life because it generally leads to cardiogenic shock and sudden death. The progression or natural course of pulmonary artery dissection is not known and the optimum management is not defined because of the paucity of cases in the literature.

Case presentationWe report a rare case of a 51-year-old female patient, without pulmonary hypertension or other cardiac abnormalities, who presented with acute chest pain and was found to have a pulmonary artery dissection

The diagnosis of pulmonary artery dissection was confirmed by computed tomography scan of the chest and cardiac magnetic resonance imaging. The patient declined surgical intervention and was followed up closely with medical therapy. At almost a year after her initial presentation, the patient is stable with no complications.

ConclusionsTo our knowledge, there are no similar cases reported in the literature of people with pulmonary artery dissection who have been followed up and who have not had surgical intervention. We review the etiology, pathophysiology, clinical associations, diagnosis and management of patients with pulmonary artery dissection.

AbbreviationsCOPDchronic obstructive pulmonary disease

CTcomputed tomography


MPAmain pulmonary artery

MRImagnetic resonance imaging

PApulmonary artery

PNDparoxysmal nocturnal dyspnea.

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Autor: Khalid Mohammad - Mohammad Sahlol - Osbert Egiebor - Ruxana T Sadikot


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