Fatal pulmonary arterial dissection and sudden death as initial manifestation of primary pulmonary hypertension: a case report

Vincenzo Arena, Fabio De Giorgio, Arnaldo Capelli, Antonio Abbate, Domenico De Mercurio, Arnaldo Carbone

Risultato della ricerca: Contributo in rivistaArticolo in rivista

20 Citazioni (Scopus)

Abstract

We report a rare case of sudden death due to cardiac tamponade following intrapericardial rupture of a main pulmonary artery dissecting aneurysm. On pathology examination, the pulmonary artery showed an intimal tear in an arterial wall area with reduced thickness. However, no degenerative, inflammatory or necrotic processes were evident within the vessel wall. Hypertrophy of the wall of vasa vasorum in the adventitia of the pulmonary artery was found, as well as bilaterally diffuse myointimal arterial hyperplasia of the lung vasculature. According to these findings, we conclude that pulmonary artery rupture occurred in a patient with chronic unrecognized primary pulmonary hypertension.
Lingua originaleEnglish
pagine (da-a)230-232
Numero di pagine3
RivistaCardiovascular Pathology
Volume2004
Stato di pubblicazionePubblicato - 2004

Keywords

  • Fatal pulmonary arterial dissection
  • sudden death

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