Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection
Background. Pulmonary arterial dissection with chronic pulmonary arterial hypertension as its major cause is a very rare but life-threatening condition. In most cases the main pulmonary trunk is the affected site usually without involvement of its branches. Segmental or lobar pulmonary artery dissec...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/2760535 |
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| author | René Hako Ján Fedačko Štefan Tóth Radoslav Morochovič Pavol Kristian Tímea Pekárová Petri Tuomainen Daniel Pella |
| author_facet | René Hako Ján Fedačko Štefan Tóth Radoslav Morochovič Pavol Kristian Tímea Pekárová Petri Tuomainen Daniel Pella |
| author_sort | René Hako |
| collection | DOAJ |
| description | Background. Pulmonary arterial dissection with chronic pulmonary arterial hypertension as its major cause is a very rare but life-threatening condition. In most cases the main pulmonary trunk is the affected site usually without involvement of its branches. Segmental or lobar pulmonary artery dissection is extremely rare. Case Presentation. We report a unique case of left lower lobe pulmonary artery dissection in a 70-year-old male, with confirmed chronic pulmonary hypertension. To confirm dissection MDCT pulmonary angiography was used. Multiplanar reformation (MPR) images in sagittal, coronal, oblique sagittal, and curved projections were generated. This case report presents morphologic CT features of rare chronic left lobar pulmonary artery dissection associated with chronic pulmonary hypertension at a place of localised pulmonary artery calcification. CT pulmonary angiography excluded signs of thromboembolism and potential motion or flow artefacts. Conclusion. To the best of our knowledge, no case of lower lobe pulmonary artery dissection with flap calcification has been reported yet. CT imaging of the chest is a key diagnostic tool that is able to detect an intimal flap and a false lumen within the pulmonary arterial tree and is preferred in differential diagnosis of rare complications of sustained pulmonary arterial hypertension. |
| format | Article |
| id | doaj-art-1a058019aba84d17b42d3bb5bd95cecb |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-1a058019aba84d17b42d3bb5bd95cecb2025-02-03T05:44:57ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/27605352760535Rare Presentation of Left Lower Lobe Pulmonary Artery DissectionRené Hako0Ján Fedačko1Štefan Tóth2Radoslav Morochovič3Pavol Kristian4Tímea Pekárová5Petri Tuomainen6Daniel Pella7Department of Radiology, General Hospital Košice, 9 Masarykova, 040 01 Košice, SlovakiaFirst Department of Internal Medicine, Louis Pasteur University Hospital, Trieda SNP 1, 041 90 Košice, SlovakiaFirst Department of Internal Medicine, Louis Pasteur University Hospital, Trieda SNP 1, 041 90 Košice, SlovakiaDepartment of Trauma Surgery, Faculty of Medicine, University of P. J. Šafarik, 43 Rastislavova, 040 01 Košice, SlovakiaDepartment of Infectology and Travel Medicine, Faculty of Medicine, University of P. J. Šafarik, 43 Rastislavova, 040 01 Košice, SlovakiaFirst Department of Internal Medicine, Louis Pasteur University Hospital, Trieda SNP 1, 041 90 Košice, SlovakiaDepartment of Internal Medicine, Kuopio University Hospital and University of Eastern Finland, Kuopio, FinlandFirst Department of Internal Medicine, Louis Pasteur University Hospital, Trieda SNP 1, 041 90 Košice, SlovakiaBackground. Pulmonary arterial dissection with chronic pulmonary arterial hypertension as its major cause is a very rare but life-threatening condition. In most cases the main pulmonary trunk is the affected site usually without involvement of its branches. Segmental or lobar pulmonary artery dissection is extremely rare. Case Presentation. We report a unique case of left lower lobe pulmonary artery dissection in a 70-year-old male, with confirmed chronic pulmonary hypertension. To confirm dissection MDCT pulmonary angiography was used. Multiplanar reformation (MPR) images in sagittal, coronal, oblique sagittal, and curved projections were generated. This case report presents morphologic CT features of rare chronic left lobar pulmonary artery dissection associated with chronic pulmonary hypertension at a place of localised pulmonary artery calcification. CT pulmonary angiography excluded signs of thromboembolism and potential motion or flow artefacts. Conclusion. To the best of our knowledge, no case of lower lobe pulmonary artery dissection with flap calcification has been reported yet. CT imaging of the chest is a key diagnostic tool that is able to detect an intimal flap and a false lumen within the pulmonary arterial tree and is preferred in differential diagnosis of rare complications of sustained pulmonary arterial hypertension.http://dx.doi.org/10.1155/2017/2760535 |
| spellingShingle | René Hako Ján Fedačko Štefan Tóth Radoslav Morochovič Pavol Kristian Tímea Pekárová Petri Tuomainen Daniel Pella Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection Case Reports in Medicine |
| title | Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection |
| title_full | Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection |
| title_fullStr | Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection |
| title_full_unstemmed | Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection |
| title_short | Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection |
| title_sort | rare presentation of left lower lobe pulmonary artery dissection |
| url | http://dx.doi.org/10.1155/2017/2760535 |
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