Pulmonary artery dissection (PAD) is a rare diagnosis that is often made postmortem
in patients with pulmonary hypertension. It can be visualized by echocardiography,
computed tomography, or magnetic resonance imaging. We present a patient with emphysematous
chronic obstructive pulmonary disease and secondary pulmonary hypertension in whom
a PAD appeared like a mediastinal mass on computed tomography. The diagnosis was made
at autopsy. We think that physicians should consider the possibility of a PAD in patients
with chronic pulmonary hypertension who present with dyspnea and chest pain.
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Article info
Publication history
Published online: August 29, 2008
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
