Pulmonary artery sheath hematoma

Dissection of the ascending aorta (AA) represents a life-threatening condition typically treated by emergent surgical repair. A rare, potential complication of AA dissection is pulmonary artery (PA) sheath hematoma. Due to the presence of a common adventitial layer between the proximal AA and the PA...

Full description

Saved in:
Bibliographic Details
Published in:Annals of cardiac anaesthesia 2021-04, Vol.24 (2), p.232-233
Main Authors: Plack, Daniel, Rehfeldt, Kent, Nelson, James, Kauss, Marissa
Format: Article
Language:English
Subjects:
Aortic dissection
echocardiography
emergency cardiac surgery
Hematoma
Interesting Image
Pulmonary arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Dissection of the ascending aorta (AA) represents a life-threatening condition typically treated by emergent surgical repair. A rare, potential complication of AA dissection is pulmonary artery (PA) sheath hematoma. Due to the presence of a common adventitial layer between the proximal AA and the PA, dissection can propagate between both vessels, potentially compromising the PA lumen. The resultant acute narrowing of the PA lumen may abruptly increase right ventricular (RV) afterload. Recognition of PA sheath hematoma is important; when seen on echocardiography it is suggestive of AA dissection and has the potential to result in RV hypertension and dysfunction if significant PA compression occurs.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_135_20