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Pulmonary artery dissection mimicking mediastinal mass

  • Author Footnotes
    ⁎ These authors contributed equally to this article.
    Halil Mutlu
    Correspondence
    Corresponding author: Halil Mutlu, MD, Angiographic Core Laboratory, Cardiovascular Research Foundation, 111 East 59th Street, 12th Floor, New York, NY 10022-1122
    Footnotes
    ⁎ These authors contributed equally to this article.
    Affiliations
    Departments of Internal Medicine and Critical Care, Berkshire Medical Center, Pittsfield, Massachusetts

    Cardiovascular Research Foundation, New York, New York
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  • Author Footnotes
    ⁎ These authors contributed equally to this article.
    Ihsan Ekin Demir
    Footnotes
    ⁎ These authors contributed equally to this article.
    Affiliations
    Faculty of Medicine, University of Heidelberg, Germany
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  • Lynn N. Mutlu
    Affiliations
    Departments of Internal Medicine and Critical Care, Berkshire Medical Center, Pittsfield, Massachusetts
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  • Daniel Doyle
    Affiliations
    Departments of Internal Medicine and Critical Care, Berkshire Medical Center, Pittsfield, Massachusetts
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  • Author Footnotes
    ⁎ These authors contributed equally to this article.
      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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