Karadem Kadir Burhan, Çelik Ersin, Cora Ahmet Rıfkı
Department of Cardiovascular Surgery, Süleyman Demirel University, Faculty of Medicine, Isparta, Turkey.
Department of Cardiovascular Surgery, Isparta City Hospital, Isparta, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Jan 28;30(1):125-128. doi: 10.5606/tgkdc.dergisi.2022.20799. eCollection 2022 Jan.
Pulmonary artery dissection is a rare condition that often occurs on the basis of pulmonary arterial hypertension and causes complications such as cardiogenic shock and sudden death. Additionally, this condition can be idiopathic. A 59-year-old male patient with no previous history of disease presented to our clinic with chest pain and shortness of breath. Coronary arteries were normal on coronary angiography in the patient who had a positive troponin test result and ST segment elevation in leads V1, V2, V3 and aVR. Pulmonary embolism was suspected in the patient whose condition worsened. Pulmonary artery dissection was diagnosed via the contrast-enhanced computed tomography and sudden cardiac death occurred. In conclusion, pulmonary artery dissection may cause aVR segment elevation on electrocardiography.
肺动脉夹层是一种罕见的病症，通常在肺动脉高压的基础上发生，并导致心源性休克和猝死等并发症。此外，这种病症可能是特发性的。一名59岁无既往病史的男性患者因胸痛和呼吸急促前来我院就诊。该患者肌钙蛋白检测结果呈阳性，V1、V2、V3导联及aVR导联ST段抬高，冠状动脉造影显示冠状动脉正常。病情恶化的患者被怀疑患有肺栓塞。通过增强计算机断层扫描诊断为肺动脉夹层，并发生了心源性猝死。总之，肺动脉夹层可能导致心电图上aVR导联ST段抬高。
