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A 28-year-old man with chronic pulmonary artery hypertension (PAH) underwent a cardiac CT scan for pulmonary artery (PA) and coronary artery (CA) evaluation due to sporadic dyspnoea and atypical chest discomfort. No acute clinical symptoms were present.
Multidetector CT (MDCT) scan showed enlargement of the PA with slight displacement of the left main/proximal tract of the anterior descending CA without any coronary compression. However, the most important and unexpected finding was the presence of an extensive intimal flap inside …