tailieunhanh - Báo cáo y học: " Idiopathic pulmonary artery dissection: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Idiopathic pulmonary artery dissection: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Idiopathic pulmonary artery dissection a case report Khalid Mohammad1 2 Mohammad Sahlol2 Osbert Egiebor2 and Ruxana T Sadikot1 3 Addresses Department of Veterans Affairs Jesse Brown VA Hospital Chicago IL USA 2Cook County Hospital Chicago IL USA 3Section of Pulmonary Critical Care and Sleep Medicine University of Illinois Chicago IL USA Email KM - khalidmdmdoc@ MS - sahlolmohammad@ OE - drosbert@ RTS - sadikot@ Corresponding author Received 6 October 2008 Accepted 27 January 2009 Published 23 July 2009 Journal of Medical Case Reports 2009 3 7426 doi 1752-1947-3-7426 This article is available from http jmedicalcasereports article view 7426 2009 Mohammad et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction The occurrence of pulmonary artery dissection is extremely rare in patients without pulmonary hypertension congenital cardiac abnormalities or cardiac intervention. A diagnosis of pulmonary artery dissection is rarely made during life because it generally leads to cardiogenic shock and sudden death. The progression or natural course of pulmonary artery dissection is not known and the optimum management is not defined because of the paucity of cases in the literature. Case presentation We report a rare case of a 51-year-old female patient without pulmonary hypertension or other cardiac abnormalities who presented with acute chest pain and was found to have a pulmonary artery dissection. The diagnosis of pulmonary artery dissection was confirmed by computed tomography scan of the chest and cardiac magnetic resonance imaging. The patient declined surgical intervention and was .