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Fernando DMG, Thilakarathne SMNK, Wickramasinghe CU. Pulmonary artery dissection—A review of 150 cases. Heart Lung 2019; 48:428-435. [DOI: 10.1016/j.hrtlng.2019.02.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 02/13/2019] [Accepted: 02/25/2019] [Indexed: 12/17/2022]
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2
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Guo HW, Sun XG, Shi Y, Shu C. Surgical repair of huge ascending aortic and arch aneurysms with aortic dissection combined with pulmonary artery dissection and aortopulmonary artery fistula. Eur J Cardiothorac Surg 2019; 55:374-376. [PMID: 29939255 DOI: 10.1093/ejcts/ezy227] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2018] [Accepted: 05/17/2018] [Indexed: 11/14/2022] Open
Abstract
An aortopulmonary artery fistula combined with aortic and pulmonary artery dissection is extremely rare, and very few cases have been reported to date. Herein, we present a 38-year-old man with huge ascending aortic, arch and thoraco-abdominal aneurysms with chronic aortic dissection, pulmonary artery dissection and aortopulmonary fistula. Surgery was performed to replace the ascending aorta and the entire arch combined with a conventional elephant trunk implantation to correct the pulmonary artery dissection and repair the aortopulmonary fistula under selective cerebral perfusion with deep hypothermic circulatory arrest. The patient recovered uneventfully. A second-stage operation will be needed to replace the thoraco-abdominal aorta.
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Affiliation(s)
- Hong-Wei Guo
- Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Xiao-Gang Sun
- Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Yi Shi
- Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Chang Shu
- Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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3
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Biasato I, Tursi M, Zanet S, Longato E, Capucchio M. Pulmonary artery dissection causing haemothorax in a cat: potential role of Dirofilaria immitis infection and literature review. J Vet Cardiol 2017; 19:82-87. [DOI: 10.1016/j.jvc.2016.08.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 06/15/2016] [Accepted: 08/18/2016] [Indexed: 10/20/2022]
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4
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Pulmonary Artery Dissection: A Case Treated by Homograft Replacement. Ann Thorac Surg 2017; 103:e47-e49. [DOI: 10.1016/j.athoracsur.2016.06.052] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Revised: 05/24/2016] [Accepted: 06/06/2016] [Indexed: 11/22/2022]
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5
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Affiliation(s)
- Sossio Perrotta
- Department of Cardiothoracic Surgery; Sahlgrenska University Hospital; Gothenburg Sweden
| | - Salvatore Lentini
- Cardiovascular Department; Città di Lecce Hospital GVM Care & Research; Lecce Italy
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6
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Scansen BA, Simpson EM, López-Alvarez J, Thomas WP, Bright JM, Eason BD, Rush JE, Dukes-McEwan J, Green HW, Cunningham SM, Visser LC, Kent AM, Schober KE. Pulmonary artery dissection in eight dogs with patent ductus arteriosus. J Vet Cardiol 2015; 17:107-19. [PMID: 25596918 DOI: 10.1016/j.jvc.2014.12.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2014] [Revised: 12/04/2014] [Accepted: 12/05/2014] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To describe a series of dogs with pulmonary artery dissection and patent ductus arteriosus (PDA). ANIMALS Eight dogs. METHODS Retrospective case series. RESULTS Pulmonary artery dissection was diagnosed in 8 dogs, 3 were Weimaraners. Four dogs presented in left-sided congestive heart failure, 4 presented for murmur evaluation and without clinical signs, and 1 presented in right-sided congestive heart failure. In 7 dogs the dissection was first documented concurrent with a diagnosis of uncorrected PDA. In the other dog, with pulmonary valve stenosis and PDA, the dissection was observed on autopsy examination 17 months after balloon pulmonary valvuloplasty and ductal closure. Median age at presentation for the 7 dogs with antemortem diagnosis of pulmonary artery dissection was 3.5 years (range, 1.5-4 years). Three dogs had the PDA surgically ligated, 2 dogs did not undergo PDA closure, 1 dog failed transcatheter occlusion of the PDA with subsequent surgical ligation, 1 dog underwent successful transcatheter device occlusion of the PDA, and 1 dog had the PDA closed by transcatheter coil delivery 17 months prior to the diagnosis of pulmonary artery dissection. The 2 dogs that did not have the PDA closed died 1 and 3 years after diagnosis due to heart failure. CONCLUSIONS Pulmonary artery dissection is a potential complication of PDA in dogs, the Weimaraner breed may be at increased risk, presentation is often in mature dogs, and closure of the PDA can be performed and appears to improve outcome.
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Affiliation(s)
- Brian A Scansen
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA.
| | - Elaine M Simpson
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA
| | - Jordi López-Alvarez
- Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst, Chester High Road, Neston, Cheshire, UK; Department of Clinical Science and Services, Royal Veterinary College, London, UK
| | - William P Thomas
- Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA
| | - Janice M Bright
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA
| | - Bryan D Eason
- Department of Veterinary Clinical Sciences and the Veterinary Teaching Hospital, College of Veterinary Medicine, Purdue University, West Lafayette, IN, USA
| | - John E Rush
- Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, USA
| | - Joanna Dukes-McEwan
- Small Animal Teaching Hospital, School of Veterinary Science, University of Liverpool, Leahurst, Chester High Road, Neston, Cheshire, UK
| | - Henry W Green
- Department of Veterinary Clinical Sciences and the Veterinary Teaching Hospital, College of Veterinary Medicine, Purdue University, West Lafayette, IN, USA
| | - Suzanne M Cunningham
- Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, USA
| | - Lance C Visser
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA
| | - Agnieszka M Kent
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA
| | - Karsten E Schober
- Department of Veterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA
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7
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Sadiq A, Rajanbabu BB. Tetralogy with pulmonary atresia and leaking left pulmonary artery aneurysm. Ann Thorac Surg 2014; 97:e87. [PMID: 24580958 DOI: 10.1016/j.athoracsur.2013.12.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Revised: 11/05/2013] [Accepted: 12/30/2013] [Indexed: 10/25/2022]
Affiliation(s)
- Adil Sadiq
- Department of Cardiothoracic Surgery, Apollo Hospitals, Bangalore, India
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8
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Hostiuc S, Dermengiu D, Ceauşu M, Capatina CO, Luca L, Hostiuc M. Sudden death due to dissection of the thoracic aorta associated with dissection and rupture of the pulmonary artery: Report of two cases. Forensic Sci Int 2014; 236:e9-13. [DOI: 10.1016/j.forsciint.2013.12.032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2013] [Accepted: 12/20/2013] [Indexed: 10/25/2022]
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9
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Anselmi A, Langanay T, Laurent M, Leguerrier A, Flecher E. Transpulmonary correction of an isolated aortopulmonary window in an adult. J Card Surg 2013; 28:663-5. [PMID: 24118138 DOI: 10.1111/jocs.12224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We describe the operative management of a 65-year-old patient with a congenital type I aortopulmonary window. At surgery, heavy calcifications on the aortic side of the defect, and close proximity with the left coronary ostium, prevented patch repair from the transaortic access. Patch closure through a combined transpulmonary approach was therefore required. This case illustrates unique features of a late-presenting aortopulmonary window.
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Affiliation(s)
- Amedeo Anselmi
- Division of Thoracic, Cardiac and Vascular Surgery, Rennes University Hospital, Rennes, France
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10
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Adams RF, Argilla M, Srichai MB. Iatrogenic Aortopulmonary Window and Pulmonary Artery Dissection Secondary to Aortic Cannulation. Circulation 2013; 128:e180-1. [DOI: 10.1161/circulationaha.112.001364] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Robert F. Adams
- From the Department of Pediatrics, Division of Pediatric Cardiology, New York University School of Medicine, New York, NY (R.F.A., M.A.); and Department of Medicine, Division of Cardiology, Medstar Georgetown University Hospital, Washington, DC (M.B.S.)
| | - Michael Argilla
- From the Department of Pediatrics, Division of Pediatric Cardiology, New York University School of Medicine, New York, NY (R.F.A., M.A.); and Department of Medicine, Division of Cardiology, Medstar Georgetown University Hospital, Washington, DC (M.B.S.)
| | - Monvadi B. Srichai
- From the Department of Pediatrics, Division of Pediatric Cardiology, New York University School of Medicine, New York, NY (R.F.A., M.A.); and Department of Medicine, Division of Cardiology, Medstar Georgetown University Hospital, Washington, DC (M.B.S.)
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11
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Matsumura Y, Ogino H, Sasaki H, Nakanishi N. Pulmonary artery dissection associated with multiple coronary–pulmonary artery fistulae. Interact Cardiovasc Thorac Surg 2010; 11:207-8. [DOI: 10.1510/icvts.2010.233841] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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12
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Yetman AT, Graham T. The dilated aorta in patients with congenital cardiac defects. J Am Coll Cardiol 2009; 53:461-7. [PMID: 19195601 DOI: 10.1016/j.jacc.2008.10.035] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2008] [Revised: 10/21/2008] [Accepted: 10/26/2008] [Indexed: 12/19/2022]
Abstract
Many patients with congenital cardiac disease are at risk for progressive aortic dilation. The mechanisms underlying aortic dilation in this patient cohort are described, and the similarities to the pathophysiologic alterations seen in Marfan syndrome are highlighted. Indications for treatment are discussed.
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Affiliation(s)
- Anji T Yetman
- Adult Congenital Cardiology Program, Department of Pediatrics and Medicine, Division of Cardiology, Primary Children's Medical Center, The University of Utah, Salt Lake City, UT 84108, USA.
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13
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Imanaka K, Matsuoka T, Abe K, Nishimura M, Kyo S. Acute Stanford type B dissection and cardiac tamponade: rupture from around ductus arteriosus. Ann Thorac Surg 2007; 84:278-80. [PMID: 17588435 DOI: 10.1016/j.athoracsur.2006.12.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2006] [Revised: 12/15/2006] [Accepted: 12/18/2006] [Indexed: 11/28/2022]
Abstract
Pericardial tamponade is rarely associated with acute Stanford type B aortic dissection. We encountered this unusual combination in a 59-year-old patient. He underwent an emergency drainage procedure through a midline sternotomy. Operative findings strongly suggested that the dissected aorta ruptured into the pericardial cavity from around the ductus arteriosus. Clinicians should be aware that Stanford type B aortic dissection can cause pericardial tamponade.
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Affiliation(s)
- Kazuhito Imanaka
- Department of Cardiovascular Surgery, Saitama Medical School, Saitama, Japan.
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14
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Hsu HH, Tzao C, Tsai CS, Sun GH, Chen CY. Acute concomitant pulmonary artery and aortic dissection with rupture. Int J Cardiovasc Imaging 2006; 23:411-4. [PMID: 17004009 DOI: 10.1007/s10554-006-9160-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2006] [Accepted: 08/29/2006] [Indexed: 10/24/2022]
Abstract
Pulmonary artery (PA) dissection is uncommon and may lead to rupture and sudden death if encountered. A 63-year-old man presented to our emergency room with episodic left chest pain radiating to the back followed by shortness of breath. A 64-row multidetector computed tomography (MDCT) revealed ruptured dissection of the PA and the aorta with hemopericardium, hemomediastinum, and prominent extravasated blood along the central bronchovascular bundles of both lungs. The patient experienced cardiogenic shock immediately following CT study and died after resuscitation. Concomitant PA and aortic dissection with rupture is extremely rare with the pathogenesis remaining investigated. MDCT proves to be a powerful tool in its diagnosis for a timely surgical repair if the patient could survive to have the operation.
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Affiliation(s)
- Hsian-He Hsu
- Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, 325, Section 2, Cheng Gong Road, Taipei 114, Taiwan
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