Pulmonary artery dissection mimicking mediastinal mass

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• 作者：Halil Mutlu ; Ihsan Ekin Demir ; Lynn N. Mutlu ; Daniel Doyle
• 刊名：Heart Lung: The Journal of Acute and Critical Care
• 出版年：2009
• 出版时间：May-June 2009
• 年：2009
• 卷：38
• 期：3
• 页码：233-237
• 全文大小：770 K

文摘

Pulmonary artery dissection (PAD) is a rare diagnosis that is often made postmortem in patients with pulmonary hypertension. It can be visualized by echocardiography, computed tomography, or magnetic resonance imaging. We present a patient with emphysematous chronic obstructive pulmonary disease and secondary pulmonary hypertension in whom a PAD appeared like a mediastinal mass on computed tomography. The diagnosis was made at autopsy. We think that physicians should consider the possibility of a PAD in patients with chronic pulmonary hypertension who present with dyspnea and chest pain.