Pulmonary embolism and deep vein thrombosis complicating acute aortic dissection during medical treatment |
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Authors: | Morimoto Satoshi Izumi Takehiko Sakurai Toshiyuki Komukai Kimiaki Kawai Makoto Yagi Hidenori Hongo Kenichi Shibata Takahiro Mochizuki Seibu |
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Institution: | Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo. morisato@jikei.ac.jp |
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Abstract: | Acute aortic dissection of Stanford type A with intramural hematoma was diagnosed based on computed tomography (CT) findings in a 60-year-old man. During medical treatment, pulmonary embolism and deep vein thrombosis developed. CT revealed thrombosis in the right pulmonary artery, and 99mTc pulmonary perfusion scintigraphy showed defects in the right lung field. CT showed thrombus in the common iliac vein. An inferior vena caval filter was placed because anticoagulation therapy was contraindicated. A CT scan before discharge showed no thrombus in the pulmonary artery or common iliac vein, but a newly captured thrombus was found inside the filter. |
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