Kwon Hoon, Jeong Yeon Joo, Lee Geewon, Hwang Minhee, Kim Jin You, Lee Nam Kyung, Lee Ji Won
J Korean Soc Radiol. 2024 May;85(3):649-653. doi: 10.3348/jksr.2023.0087. Epub 2024 May 14.
A pulmonary artery periadventitial hematoma is a rare complication of a Stanford type A intramural hematoma. As the proximal ascending aorta and pulmonary artery share a common adventitial layer, extravasated blood from the intramural hematoma in the ascending thoracic aorta may extend to beneath the adventitia of the pulmonary artery. The authors describe a case involving a 66-year-old male with acute chest pain who presented with a pulmonary artery periadventitial hematoma associated with a Stanford type A intramural hematoma.
肺动脉外膜周围血肿是斯坦福A型主动脉壁内血肿的一种罕见并发症。由于升主动脉近端和肺动脉共用一层外膜,胸段升主动脉壁内血肿渗出的血液可能延伸至肺动脉外膜下方。作者描述了一例病例,一名66岁男性因急性胸痛就诊,被诊断为与斯坦福A型主动脉壁内血肿相关的肺动脉外膜周围血肿。