Subject(s)
Angina Pectoris, Variant/physiopathology , Electrocardiography , Humans , Male , Middle Aged , RecurrenceSubject(s)
Cardiac Catheterization , Coronary Aneurysm/complications , Coronary Thrombosis/complications , Shock, Cardiogenic/etiology , Tomography, X-Ray Computed , Aged , Diagnosis, Differential , Fatal Outcome , Humans , Hypertension, Pulmonary/etiology , Male , Myocardial Infarction/etiology , Pulmonary Embolism/diagnosisABSTRACT
Pulmonary artery dissection is a rare clinical entity, which has been related to pulmonary arterial hypertension. It is frequently presented as cardiogenic shock or sudden death, so diagnosis is often made at autopsy. The management with best results is surgery. We report a case of pulmonary artery dissection associated with previous aortic valve replacement with a favourable outcome, using conservative medical therapy.
Subject(s)
Aortic Dissection/diagnostic imaging , Aortic Dissection/drug therapy , Diuretics/therapeutic use , Pulmonary Artery/pathology , Vasodilator Agents/therapeutic use , Aged , Female , Humans , Pulmonary Artery/diagnostic imaging , RadiographyABSTRACT
Atrial septal defects comprise one of the most common congenital cardiac malformations in adults and adolescents. However, such septal defects are rarely associated with chest wall diseases. When they are, respiratory failure soon develops and is severe. Cases in which the long-term course of disease is favorable with noninvasive ventilation have not been reported in the literature. We present the case of a 71-year-old woman with kyphoscoliosis, sinus venosus atrial septal defect, severe pulmonary hypertension, respiratory failure, and heart failure. We describe her response to treatment with noninvasive mechanical ventilation.