A diagnostic trap simulating pulmonary embolism

##plugins.themes.academic_pro.article.main##

Abderrahmane Bakkali
Moncef Hlal
Mathieu Rodière
Aude Boignard
Olivier Chavanon

Abstract

SUMMARY
Pulmonary embolism is one of the differential diagnoses of "acute chest" syndromes. We report a clinical case of contained rupture of ascending aortic aneurysm with pulmonary arteries compression, which was presented as pulmonary embolism, and we well review the literature data of this diagnostic trap.

Keywords:

Pulmonary embolism, aneurysm of the ascending aorta, pulmonary artery compression.

##plugins.themes.academic_pro.article.details##

References

  1. Drachler DH, Willis PW: Acquired right ventricular out-flow tract obstruction. Am Heart J 1971; 82:536-540.
  2. Varkery B, Tristani FE: Compression of pulmonary artery and bronchus by descending thoracic aortic aneurysm. Am J Cardiol 1974; 34:610-614.
  3. Charnsangavej C: Occlusion of the right pulmonary artery by acute dissecting aortic aneurysm. Am J Radiol 1979; 132:274-276.
  4. Buja LM, Ali N, Fletcher RD, Roberts WC: Stenosis of the right pulmonary artery: A complication of acute dissecting aneurysm of the ascending aorta. Am Heart J 1972; 83:89-92.
  5. Neri E, Toscano T, Civeli L, Capannini G, Tucci E, Sassi C: acute dissecting aneurysm of the ascending thoracic aorta causing obstruction and thrombosis of the right pulmonary artery. Texas Heart Inst J 2001; 149-51.
  6. Sbarouni E, Georgiadou P, Marathias A, Geroulanos S, kremastinos DT: D-dimer and BNP levels in acute aortic dissection. I J Card 2007; 122:170-172.
  7. Weber T, Hogler S, Auer J, and al: D-dimer in acute aortic dissection. Chest 2003; 123: 1375-8.
  8. Kim DH, Ryu SW, Choi YS, Ahn BH: Aortic dissecting presenting with secondary pulmonary hypertension caused by compression of the pulmonary artery by dissecting hematoma: A case report. Korean J Radiol 2004;5:139-142.
  9. Benz. R, Mattle. D, Thurnheer. R : Embolies pulmonaires aiguës - diagnostic et traitement actuels. Forum Med Suisse 2014;14(10):195-201.
  10. Calwin Davidsingh. S, Srinivasan. N, Balaji. P and al: Study of clinical profile and management of patients with pulmonary embolism - Single center study.Indian. Heart J. 2014; 66(2): 197-202.
  11. Solère P : Embolie pulmonaire : la thrombolyse pourrait être élargie au risque intermédiaire. Medscape. 27 mars 2013.
  12. Pizza G and Goldhaber SZ. Acute pulmonary embolism. Circulation 2006; 114:E42-47.
  13. Blankenship J.C and Almquist A.K: Cardiovascular complications of thrombolytic therapy in patients with a mistaken diagnosis of acute myocardial infraction. J A, Coll cardiol.1989; 14(6):1579-1582.
  14. Cannesson M, Burckard E, Lefèvre M, Bastien O, Leoht J.J: facteurs de risque de mortalité après chirurgie pour dissection aortique de type A: Impact des traitements antithrombotiques préopératoires. AnnFAR. 2004;23(6):568-74