Pulmonary Artery Dissection: A Case Treated by Homograft Replacement

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Presentation transcript:

Pulmonary Artery Dissection: A Case Treated by Homograft Replacement Didier K. Adodo, MD, Martin Kloeckner, MD, Eric Bergoend, MD, Jean-Paul Couëtil, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 1, Pages e47-e49 (January 2017) DOI: 10.1016/j.athoracsur.2016.06.052 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Ectasia of the pulmonary artery (PA) trunk with intimal flap (arrow) on transthoracic echocardiography. (B) Coronal section of chest contrast computed tomographic scan showing the pulmonary artery dissection (flap, asterisk). (RPA = right pulmonary artery; RV = right ventricle.) The Annals of Thoracic Surgery 2017 103, e47-e49DOI: (10.1016/j.athoracsur.2016.06.052) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Operating view showing the tear at the level of the leaflet (hook). The dissection starts at the level of the thickened and distorted leaflets, with the intimal flap (asterisk) between the false lumen (FL) and the true lumen (TL). (B) Chest contrast computed tomographic scan (sagittal view) 5 months later shows a stable and anatomic homograft reconstruction. The Annals of Thoracic Surgery 2017 103, e47-e49DOI: (10.1016/j.athoracsur.2016.06.052) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions