European Journal of Cardio-Thoracic Surgery 0 (2018) 1 IMAGES IN CARDIO-THORACIC SURGERY doi:10.1093/ejcts/ezy085 Cite this article as: Miura S, Iba Y, Yamada A. Type A aortic dissection with pulmonary hypertension caused by pulmonary artery compression and acute mitral regur- gitation. Eur J Cardiothorac Surg 2018; doi:10.1093/ejcts/ezy085. Type A aortic dissection with pulmonary hypertension caused by pulmonary artery compression and acute mitral regurgitation Shuhei Miura*, Yutaka Iba and Akira Yamada Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan * Corresponding author. Department of Cardiovascular Surgery, Teine Keijinkai Hospital, 1-12 Maeda, Teine-ku, Sapporo 006-8555, Japan. Tel: +81-011-6818111; fax: +81-011-6852196; e-mail: email@example.com (S. Miura). Received 7 November 2017; received in revised form 31 January 2018; accepted 6 February 2018 Keywords: Type A aortic dissection � Pulmonary artery compression � Mitral regurgitation � Pulmonary hypertension Figure 1: A 64-year-old woman presented with acute Type A aortic dissection and pulmonary hypertension. Computed tomography (A and B) demonstrated occlusion of the right PA compressed by a haematoma. Transoesophageal echocardiography revealed severe mitral regurgitation caused by a tendon rupture (C). The mitral valve was repaired using chordal replacement, following hemiarch replacement. The recovery was uneventful. LA: left atrium; LV: left ventricle; PA: pulmonary artery. V The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. Downloaded from https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezy085/4950514 by Ed 'DeepDyve' Gillespie user on 07 June 2018 IMAGES IN CARDIO- THORACIC SURGERY
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Mar 21, 2018
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