This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Yoshito Inoue Ryuichi Takahashi Ichiro Kashima Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Inoue, Y. Articles by Tsutsumi, K. Search for Related Content PubMed PubMed Citation Articles by Inoue, Y. Articles by Tsutsumi, K. Related Collections Related Article

Mediastinal hematoma: another lethal sign of aortic dissection

Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi, Utsunomiya, Tochigi 321-0974, Japan

*Corresponding author. Tel.: +81-28-626-5500; fax: +81-26-626-5594.

E-mail address: yosito_inoue{at}saimiya.com (Y. Inoue).

Acute compressive hemomediastinum due to type A acute aortic dissection in a 70-year-old man caused acute simultaneous obstruction of pulmonary artery and superior vena cava, leading to sudden death, presenting acute progressive bruising of the upper half of the body and subsequent massive hemoptysis. Computed tomography scanning revealed acute severe stenosis of the superior vena cava and right pulmonary artery by mediastinal hematoma. Mediastinal hematoma combined with simultaneous obstruction of pulmonary artery and superior vena cava is a rare entity and should be recognized as one of the acutely fatal signs of type A dissection.

Key Words: Acute aortic dissection; CT findings; Mediastinal hematoma

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