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Extensive right pulmonary artery dissection in a young patient with chronic pulmonary hypertension
  1. Vincenzo Russo1,
  2. Maurizio Zompatori1,
  3. Nazzareno Galiè2
  1. 1Cardio-Thoracic-Vascular Department, Cardiothoracic Radiology Unit, University Hospital “S.Orsola”, Bologna, Italy
  2. 2Cardio-Thoracic-Vascular Department, Institute of Cardiology, University Hospital “S.Orsola”, Bologna, Italy
  1. Correspondence to Dr Vincenzo Russo, Cardio-Thoracic-Vascular Department, Cardiothoracic Radiology Unit, Padiglione 25, University Hospital “S.Orsola” Via Massarenti 9, Bologna, Italy; virusso{at}

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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 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Ethics approval was obtained from the Policlinico S.Orsola-Malpighi Hospital ethics committee.

  • Provenance and peer review Not commissioned; internally peer reviewed.