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Pulmonary Artery Periadventitial Hematoma in a Patient with Aortic Intramural Hematoma: A Case Report

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Specialty Radiology
Date 2024 Jun 14
PMID 38873368
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Abstract

A pulmonary artery periadventitial hematoma is a rare complication of a Stanford type A intramural hematoma. As the proximal ascending aorta and pulmonary artery share a common adventitial layer, extravasated blood from the intramural hematoma in the ascending thoracic aorta may extend to beneath the adventitia of the pulmonary artery. The authors describe a case involving a 66-year-old male with acute chest pain who presented with a pulmonary artery periadventitial hematoma associated with a Stanford type A intramural hematoma.

References
1.
Guilmette J, Semionov A, Dennie C, Gahide G, Pressacco J, Fraser R . Hemorrhagic infiltration of the aortopulmonary adventitia: A complication of acute aortic dissection. Eur J Radiol. 2016; 85(1):239-247. DOI: 10.1016/j.ejrad.2015.11.025. View

2.
Plack D, Rehfeldt K, Nelson J, Kauss M . Pulmonary artery sheath hematoma. Ann Card Anaesth. 2021; 24(2):232-233. PMC: 8253031. DOI: 10.4103/aca.ACA_135_20. View

3.
MILNE E, Cyrlak D . Interstitial pulmonary hemorrhage from mediastinal hematoma secondary to aortic rupture. Radiology. 1987; 164(1):286-7. DOI: 10.1148/radiology.164.1.286-b. View

4.
Hodges W, Jia L, White S, Patel S, Keshavamurthy J . Aortic intramural hematoma with unique involvement of pulmonary arteries. J Cardiovasc Comput Tomogr. 2018; 14(5):e15-e17. DOI: 10.1016/j.jcct.2018.10.017. View

5.
Gros-Gean J, Lebecque O, Nchimi A, Vlad M . Case Series: Pulmonary Artery Intramural Hematoma in Stanford Type A Acute Aortic Dissection. J Belg Soc Radiol. 2021; 105(1):34. PMC: 8195111. DOI: 10.5334/jbsr.2446. View