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An Incident of a Massive Pulmonary Embolism following Acute Aortic Dissection. A Case Report

Sofia Fernandes

Sofia Fernandes

Department of Anesthesiology, Centro Hospitalar Universitario Lisboa Norte EPELisboa, Portugal
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Fernandes, Sofia
, 
Mariana Rodrigues

Mariana Rodrigues

Department of Anesthesiology, Centro Hospitalar Universitario Lisboa Norte EPELisboa, Portugal
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Rodrigues, Mariana
, 
Catarina Barreiros

Catarina Barreiros

Department of Anesthesiology, Centro Hospitalar Universitario Lisboa Norte EPELisboa, Portugal
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Barreiros, Catarina
, 
Hugo Côrte-Real

Hugo Côrte-Real

Department of Cardiothoracic Surgery, Centro Hospitalar Universitario Lisboa Norte EPELisboa, Portugal
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Côrte-Real, Hugo
, 
Ricardo Ferreira

Ricardo Ferreira

Department of Cardiothoracic Surgery, Centro Hospitalar Universitario Lisboa Norte EPELisboa, Portugal
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Ferreira, Ricardo
 und 
Ângelo Nobre

Ângelo Nobre

Department of Cardiothoracic Surgery, Centro Hospitalar Universitario Lisboa Norte EPELisboa, Portugal
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Nobre, Ângelo
  
29. Jan. 2021
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Artikel-Kategorie: Case Report
Online veröffentlicht: 29. Jan. 2021
Seitenbereich: 67 - 72
Eingereicht: 14. Sept. 2020
Akzeptiert: 29. Dez. 2020
DOI: https://doi.org/10.2478/jccm-2021-0001
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© 2021 Sofia Fernandes, Mariana Rodrigues, Catarina Barreiros, Hugo Côrte-Real, Ricardo Ferreira, Ângelo Nobre, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Fig. 1

A. Preoperative thoracic computed tomographic angiography: acute Stanford type A aortic dissection with ascending intimal flap (arrow). The main pulmonary artery(***) and the left and right branches were normally enhanced with contrast medium. (*true lumen aorta; **false lumen). B. Preoperative thoracic computed tomographic angiography: aortic arch saccular aneurysm (*).
A. Preoperative thoracic computed tomographic angiography: acute Stanford type A aortic dissection with ascending intimal flap (arrow). The main pulmonary artery(***) and the left and right branches were normally enhanced with contrast medium. (*true lumen aorta; **false lumen). B. Preoperative thoracic computed tomographic angiography: aortic arch saccular aneurysm (*).

Fig. 2

Transthoracic echocardiography apical five-chamber view: right ventricular enlargement (*) and left ventricle (**).
Transthoracic echocardiography apical five-chamber view: right ventricular enlargement (*) and left ventricle (**).

Fig. 3

A. Contrast-enhanced thoracic CT showing extensive, bilateral thromboembolism of the right (purple arrow) and left pulmonary artery (red arrow) branches and its lobar branches (blue arrows). B. Periprosthetic hematoma from the innominate artery with a pseudoaneurysm (*) conditioning a slight impression of the brachiocephalic venous trunk filiform path (red arrow).
A. Contrast-enhanced thoracic CT showing extensive, bilateral thromboembolism of the right (purple arrow) and left pulmonary artery (red arrow) branches and its lobar branches (blue arrows). B. Periprosthetic hematoma from the innominate artery with a pseudoaneurysm (*) conditioning a slight impression of the brachiocephalic venous trunk filiform path (red arrow).
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