Ascending Aortic Dissecting Aneurysm with Isolated Right Pulmonary Arterial Medial Intramural Hematoma Jiunn-Jye Sheu, MD, Morgan Fu, MD, Fan-Yen Lee,

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Ascending Aortic Dissecting Aneurysm with Isolated Right Pulmonary Arterial Medial Intramural Hematoma Jiunn-Jye Sheu, MD, Morgan Fu, MD, Fan-Yen Lee, MD, Shu-Hang Ng, MD, Yung-Liang Wan, MD, Sheung-Fat Ko, MD The Annals of Thoracic Surgery Volume 85, Issue 6, Pages 2127-2128 (June 2008) DOI: 10.1016/j.athoracsur.2007.12.054 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Postcontrast multidetector computed tomographic scan shows an intimal flap (black arrow) and a partially thrombosed false lumen (open arrows) in the ascending aorta. Also note the pericardial effusion, left lower lung consolidation, and left side pleural effusion. The Annals of Thoracic Surgery 2008 85, 2127-2128DOI: (10.1016/j.athoracsur.2007.12.054) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Precontrast multidetector computed tomographic scan shows a hyperdense thrombus (open arrows) in the anterolateral part of the ascending aorta and a slightly hyperdense lesion (white arrows), initially interpreted as a pulmonary thrombus, along the posterior wall of the right pulmonary artery. (B) Postcontrast multidetector computed tomography shows an ascending aortic aneurysm (black arrow) pressing on the right pulmonary artery and a surgically proven intramural hematoma (white arrows) with narrowing of the right pulmonary arterial lumen. Note the partially thrombosed aortic false lumen (open arrows). The Annals of Thoracic Surgery 2008 85, 2127-2128DOI: (10.1016/j.athoracsur.2007.12.054) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions