Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Spontaneously Developed Pulmonary Arterial Intramural Hematoma That Mimicked Thromboembolism

  • Kang, Eun-Ju (Department of Radiology, Dong-A University College of Medicine) ;
  • Lee, Ki-Nam (Department of Radiology, Dong-A University College of Medicine) ;
  • Kim, In (Department of Radiology, Kyungpook National University Hospital) ;
  • Chae, Jong-Min (Department of Pathology, Kyungpook National University Hospital) ;
  • Kim, Gun-Jik (Department of Thoracic Surgery, Kyungpook National University Hospital) ;
  • Yang, Dong-Heon (Department of Cardiology, Kyungpook National University Hospital) ;
  • Lee, Jong-Min (Department of Radiology, Kyungpook National University Hospital)
  • Published : 2012.08.01
⟨ Previous Next ⟩

Abstract

A 65-year-old woman visited our hospital with a complaint of acute onset dyspnea and radiological manifestations of pulmonary thromboembolism. The patient underwent an exploratory surgery to find a whitish-blue colored mass occupying almost the whole lumen of the main pulmonary arteries. Based on the pathological and radiological findings, the patient was diagnosed to have a pulmonary arterial intramural hematoma. Intramural hematomas are usually observed in the walls of the aorta, and we believe that an isolated intramural hematoma in the pulmonary artery has not been described previously.

Keywords

References

  1. Sheu JJ, Fu M, Lee FY, Ng SH, Wan YL, Ko SF. Ascending aortic dissecting aneurysm with isolated right pulmonary arterial medial intramural hematoma. Ann Thorac Surg 2008;85:2127- 2128 https://doi.org/10.1016/j.athoracsur.2007.12.054
  2. Steurer J, Jenni R, Medici TC, Vollrath T, Hess OM, Siegenthaler W. Dissecting aneurysm of the pulmonary artery with pulmonary hypertension. Am Rev Respir Dis 1990;142:1219-1221 https://doi.org/10.1164/ajrccm/142.5.1219
  3. Rosenson RS, Sutton MS. Dissecting aneurysm of the pulmonary trunk in mitral stenosis. Am J Cardiol 1986;58:1140-1141 https://doi.org/10.1016/0002-9149(86)90142-6
  4. Mohammad K, Sahlol M, Egiebor O, Sadikot RT. Idiopathic pulmonary artery dissection: a case report. J Med Case Reports 2009;3:7426 https://doi.org/10.4076/1752-1947-3-7426
  5. Lee JE, Kim JH, Kang MK, Park HJ, Lee JH, Kim EK, et al. A case of pulmonary arterial thrombosis in a patient with tuberculous-destroyed lung and pulmonary hypertension. Tuberc Respir Dis 2008;64:28-32 https://doi.org/10.4046/trd.2008.64.1.28
  6. Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum 1990;33:1129-1134

Cited by

  1. Pulmonary artery intramural haematoma: an unusual cause of sudden death in patients with chronic pulmonary hypertension vol.5, pp.1, 2012, https://doi.org/10.1136/heartasia-2013-010332
  2. Hematoma Intramural da Artéria Pulmonar Associado a Dissecção Aórtica Aguda vol.116, pp.6, 2021, https://doi.org/10.36660/abc.20200775