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Pulmonary infiltration shadows associated with acute aortic dissection mimicking coronavirus pneumonia
Author(s) -
Hamasaki Azumi,
Kikuchi Chizuo,
Hirota Masataka,
Niinami Hiroshi
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14533
Subject(s) - medicine , aortic dissection , infiltration (hvac) , ascending aorta , radiology , computed tomography , covid-19 , aorta , lung , cardiology , infectious disease (medical specialty) , physics , disease , thermodynamics
Background In acute aortic dissection, various findings can be found in computed tomography. However, pulmonary infiltration is rarely observed. Case Report A 57‐year‐old man was diagnosed with acute aortic dissection (AAD), but had marked infiltration shadows in his right lung. Intraoperative findings showed that large subadventitial hematomas had spread from the ascending aorta to the right pulmonary artery, which may have caused the infiltration of the lung. Conclusions Subadventitial hematoma must be considered in rare cases of AAD with pulmonary infiltration.