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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,

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Presentation on theme: "Ascending Aortic Dissecting Aneurysm with Isolated Right Pulmonary Arterial Medial Intramural Hematoma  Jiunn-Jye Sheu, MD, Morgan Fu, MD, Fan-Yen Lee,"— Presentation transcript:

1 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 (June 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

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