Dissecting hematomas of the pulmonary artery: rare and fatal catastrophies

The American Journal of Forensic Medicine and Pathology
S L Jones

Abstract

This article presents, to the author's best knowledge, the first reported case of a fatal pulmonary artery dissecting hematoma that was a long-term complication of a Waterston shunt procedure (aortopulmonary anastamosis). Pulmonary artery dissecting hematomas are rare and generally fatal, and they are usually not diagnosed until the autopsy is performed. They occur in young adults, are almost always associated with pulmonary hypertension, and often present with the sudden onset of excruciating lancet-like retrosternal pain. Risk factors for the development of dissecting hematomas, in addition to hypertension, include vascular turbulence, trauma, connective tissue disorders, syphilis, infection, previous surgery, and iatrogenic events (e.g., catheterization). The treatment is prompt medical reduction of pulmonary hypertension.

References

Mar 1, 1976·Vascular Surgery·B PlacikS Swaroop
Nov 1, 1990·The American Review of Respiratory Disease·J SteurerW Siegenthaler
Jan 1, 1984·Cleveland Clinic Quarterly·S E RosenblumP C Taylor
Jan 1, 1981·Virchows Archiv. A, Pathological Anatomy and Histology·H Lüchtrath
Nov 1, 1958·Annals of Internal Medicine·R J CONDRY, L H NEFFLIN

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Citations

Oct 27, 2006·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Christian ApitzMichael Hofbeck
Nov 29, 2007·The American Journal of Forensic Medicine and Pathology·Jason K Graham, Bahig Shehata
Mar 10, 2001·Cardiology in the Young·D A HullM N Sheppard
Jun 15, 2019·Cardiology in the Young·Efrén Martínez-QuintanaJorge Marrero-Brito

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