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Aortic dissection with extension to a patent ductus arteriosus
Authors:Emir?Festic  Email author" target="_blank">Robert?M?SteinerEmail author  Eileen?Spatz
Institution:(1) Departments of Medicine and Radiology and New York Methodist Hospital, Weill Medical College of Cornell University, New York, NY, USA;(2) Present address: The Mayo Clinic, Rochester, USA;(3) Present address: Department of Radiology, The Temple University School of Medicine and Health Sciences Center, 3401 N Broad Street, Philadelphia, PA, USA, 19140
Abstract:An 81-year-old woman presented with shortness of breath and fever of 3 days duration. An enhanced CT of the chest revealed a patent ductus arteriosus (PDA) communicating with the true lumen of an aortic arch dissection. Neither the aortic dissection nor the PDA was suspected. The patient had no history of a connective tissue abnormality or other condition which would predispose to dissection other than systemic hypertension. It is likely that propagation of the aortic dissection partially re-opened the ductus arteriosus.
Keywords:aortic dissection  congenital heart disease  patent ductus arteriosus
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