Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Pulmonary Artery Periadventitial Hematoma in a Patient with Aortic Intramural Hematoma: A Case Report

대동맥벽내 혈종 환자에서의 폐동맥 외막주위 혈종: 증례 보고

  • Hoon Kwon (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital) ;
  • Yeon Joo Jeong (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Yangsan Hospital) ;
  • Geewon Lee (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital) ;
  • Minhee Hwang (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital) ;
  • Jin You Kim (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital) ;
  • Nam Kyung Lee (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital) ;
  • Ji Won Lee (Department of Radiology, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital)
  • Received : 2023.07.27
  • Accepted : 2024.03.05
  • Published : 2024.05.01
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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.

폐동맥 외막주위 혈종은 Stanford A형 대동맥벽내 혈종의 드문 합병증이다. 근위부 상행 대동맥과 폐동맥은 공통된 혈관외막을 공유하고 있기 때문에 대동맥벽내 혈종의 혈액은 폐동맥으로 확산될 수 있다. 저자들은 급성 흉통을 호소하는 66세 남성에게서 보인 Stanford A형 대동맥벽내 혈종과 연관된 폐동맥 외막주위 혈종의 증례를 보고하고자 한다.

Keywords

Acknowledgement

This work was supported by a clinical research grant from the Pusan National University Hospital in 2021.

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