A diagnostic trap simulating pulmonary embolism
Keywords:
Pulmonary embolism, aneurysm of the ascending aorta, pulmonary artery compression.Abstract
SUMMARY
Pulmonary embolism is one of the differential diagnoses of "acute chest" syndromes. We report a clinical case of contained rupture of ascending aortic aneurysm with pulmonary arteries compression, which was presented as pulmonary embolism, and we well review the literature data of this diagnostic trap.
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References
Drachler DH, Willis PW: Acquired right ventricular out-flow tract obstruction. Am Heart J 1971; 82:536-540.
Varkery B, Tristani FE: Compression of pulmonary artery and bronchus by descending thoracic aortic aneurysm. Am J Cardiol 1974; 34:610-614.
Charnsangavej C: Occlusion of the right pulmonary artery by acute dissecting aortic aneurysm. Am J Radiol 1979; 132:274-276.
Buja LM, Ali N, Fletcher RD, Roberts WC: Stenosis of the right pulmonary artery: A complication of acute dissecting aneurysm of the ascending aorta. Am Heart J 1972; 83:89-92.
Neri E, Toscano T, Civeli L, Capannini G, Tucci E, Sassi C: acute dissecting aneurysm of the ascending thoracic aorta causing obstruction and thrombosis of the right pulmonary artery. Texas Heart Inst J 2001; 149-51.
Sbarouni E, Georgiadou P, Marathias A, Geroulanos S, kremastinos DT: D-dimer and BNP levels in acute aortic dissection. I J Card 2007; 122:170-172.
Weber T, Hogler S, Auer J, and al: D-dimer in acute aortic dissection. Chest 2003; 123: 1375-8.
Kim DH, Ryu SW, Choi YS, Ahn BH: Aortic dissecting presenting with secondary pulmonary hypertension caused by compression of the pulmonary artery by dissecting hematoma: A case report. Korean J Radiol 2004;5:139-142.
Benz. R, Mattle. D, Thurnheer. R : Embolies pulmonaires aiguës - diagnostic et traitement actuels. Forum Med Suisse 2014;14(10):195-201.
Calwin Davidsingh. S, Srinivasan. N, Balaji. P and al: Study of clinical profile and management of patients with pulmonary embolism - Single center study.Indian. Heart J. 2014; 66(2): 197-202.
Solère P : Embolie pulmonaire : la thrombolyse pourrait être élargie au risque intermédiaire. Medscape. 27 mars 2013.
Pizza G and Goldhaber SZ. Acute pulmonary embolism. Circulation 2006; 114:E42-47.
Blankenship J.C and Almquist A.K: Cardiovascular complications of thrombolytic therapy in patients with a mistaken diagnosis of acute myocardial infraction. J A, Coll cardiol.1989; 14(6):1579-1582.
Cannesson M, Burckard E, Lefèvre M, Bastien O, Leoht J.J: facteurs de risque de mortalité après chirurgie pour dissection aortique de type A: Impact des traitements antithrombotiques préopératoires. AnnFAR. 2004;23(6):568-74
