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European Journal of Echocardiography 2007 8(5):403-405; doi:10.1016/j.euje.2006.07.001
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Copyright © 2006, The European Society of Cardiology

Acquired pulmonary artery branch stenosis caused by pulmonary thromboembolism

Manjunath Nathan and Ramdas G. Pai*

Division of Cardiology, Department of Medicine, Loma Linda University Medical Center, Loma Linda, CA, United States

Received 12 May 2006; received in revised form 22 June 2006; accepted after revision 10 July 2006.

rpai{at}usc.edu

* Corresponding author. Division of Cardiology, University of Southern California/Keck School of Medicine, 1510 San Pablo Street, #322, Los Angeles, CA 90033, United States. Tel.: +1 323 442 6130; fax: +1 323 442 6133.


  Abstract

We present a case of acquired pulmonary artery branch stenosis caused by pulmonary thromboembolism. The patient presented with symptoms mimicking aortic dissection. An emergent transesophageal echocardiogram showed a high gradient across the right pulmonary artery along with mobile thrombi. The vital importance making an accurate diagnosis and ruling out aortic dissection is emphasized in view of the need for urgent heparinization or thrombolysis for pulmonary thromboembolism as this is contraindicated in aortic dissection.

Keywords: Pulmonary artery stenosis; Transesophageal Echocardiography; Aortic dissection; Pulmonary embolism; Pulmonary hypertension


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