학술논문

A case of acute Type A Stanford aortic dissection where pulmonary artery dissection was suspected from preoperative CT findings / 術前のCT画像で肺動脈解離が疑われたStanford A型急性大動脈解離の一例
Document Type
Journal Article
Source
Cardiovascular Anesthesia. 2016, 20(1):39
Subject
acute aortic dissection
hematoma
pulmonary artery dissociation
transesophageal echocardiography
Language
Japanese
ISSN
1342-9132
1884-7439
Abstract
We would like to report our experience with a case of acute Type A aortic dissection where preoperative CT images led us to suspect pulmonary artery dissection. A patient was diagnosed with Stanford A acute aortic dissection based on a CT taken during an outpatient visit. The radiology department read these CT films and pointed out findings which could have been a dissection that extended from the main stem to the periphery of the pulmonary artery. On the CT, there was a delay in contrast enhancement of the pulmonary artery false lumen. Blood flow was maintained through the true lumen, and there were no apparent signs of a pulmonary infarction. In actuality, a transesophageal echocardiography and surgical findings revealed signs of a hematoma around the pulmonary artery, but there were no signs of a pulmonary artery dissection.