IMAGES IN CARDIO-THORACIC SURGERY
European Journal of Cardio-Thoracic Surgery 46 (2014) 141–142 doi:10.1093/ejcts/ezt551 Advance Access publication 28 November 2013
Dissection of the right pulmonary artery after blunt trauma Sven M. Almdahla,*, Øyvind Jakobsena and Thor H. Skattørb a b
Department of Cardiothoracic and Vascular Surgery, University Hospital of North Norway, Tromsø, Norway Department of Radiology, University Hospital of North Norway, Tromsø, Norway
* Corresponding author. Department of Cardiothoracic and Vascular Surgery, University Hospital of North Norway, 9038 Tromsø, Norway. Tel: +47-77627396; fax: +47-77628298; e-mail: [email protected] (S.M. Almdahl). Received 27 August 2013; received in revised form 10 October 2013; accepted 16 October 2013
Keywords: Blunt trauma • Dissection • Pulmonary artery
haemothorax, pulmonary contusions and pneumomedistinum. The dissection was confirmed by another CT scan 6 days later. The course was nonoperatively and uneventful.
Figure 1: CT scan revealed dissection of the right pulmonary artery. The patient had no past medical history and particularly no chronic pulmonary hypertension due to congenital cardiac anomaly which is the main cause of spontaneous pulmonary artery dissection. Pulmonary artery dissection after blunt trauma has been scarcely described previously.
© The Author 2013. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
IMAGES IN CARDIOTHORACIC SURGERY
A 46-year old female patient was admitted after a 5-m height fall. Contrast-enhanced CT scan discovered dissection of the right pulmonary artery (Figs 1 and 2) as well as rib fractures, pneumo-/
142
S.M. Almdahl et al. / European Journal of Cardio-Thoracic Surgery
Figure 2: The dissection of the right pulmonary artery (left) and at follow-up at 5 months, there was normalization of the pulmonary artery (right). Above: frontal images; below: sagittal images.
European Journal of Cardio-Thoracic Surgery 46 (2014) 141–142 doi:10.1093/ejcts/ezt551 Advance Access publication 28 November 2013
Dissection of the right pulmonary artery after blunt trauma Sven M. Almdahla,*, Øyvind Jakobsena and Thor H. Skattørb a b
Department of Cardiothoracic and Vascular Surgery, University Hospital of North Norway, Tromsø, Norway Department of Radiology, University Hospital of North Norway, Tromsø, Norway
* Corresponding author. Department of Cardiothoracic and Vascular Surgery, University Hospital of North Norway, 9038 Tromsø, Norway. Tel: +47-77627396; fax: +47-77628298; e-mail: [email protected] (S.M. Almdahl). Received 27 August 2013; received in revised form 10 October 2013; accepted 16 October 2013
Keywords: Blunt trauma • Dissection • Pulmonary artery
haemothorax, pulmonary contusions and pneumomedistinum. The dissection was confirmed by another CT scan 6 days later. The course was nonoperatively and uneventful.
Figure 1: CT scan revealed dissection of the right pulmonary artery. The patient had no past medical history and particularly no chronic pulmonary hypertension due to congenital cardiac anomaly which is the main cause of spontaneous pulmonary artery dissection. Pulmonary artery dissection after blunt trauma has been scarcely described previously.
© The Author 2013. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
IMAGES IN CARDIOTHORACIC SURGERY
A 46-year old female patient was admitted after a 5-m height fall. Contrast-enhanced CT scan discovered dissection of the right pulmonary artery (Figs 1 and 2) as well as rib fractures, pneumo-/
142
S.M. Almdahl et al. / European Journal of Cardio-Thoracic Surgery
Figure 2: The dissection of the right pulmonary artery (left) and at follow-up at 5 months, there was normalization of the pulmonary artery (right). Above: frontal images; below: sagittal images.
