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Pulmonary infiltration shadows associated with acute aortic dissection mimicking coronavirus pneumonia
  • Azumi Hamasaki, MD, PhD,
  • Chizuo Kikuchi, MD, PhD,
  • Hiroshi Niinami, MD, PhD
Azumi Hamasaki, MD, PhD
Department of Cardiovascular Surgery, Tokyo Women’s Medical University, Tokyo, Japan
Author Profile
Chizuo Kikuchi, MD, PhD
Department of Cardiovascular Surgery, Tokyo Women’s Medical University, Tokyo, Japan
Hiroshi Niinami, MD, PhD
Department of Cardiovascular Surgery, Tokyo Women’s Medical University, Tokyo, Japan

Abstract

A 57-year-old man was diagnosed with acute aortic dissection (AAD), but had marked infiltration shadows in his right lung. Intraoperative findings showed that large subadventitial hematomas had spread from the ascending aorta to the right pulmonary artery, which may have caused the infiltration of the lung. Subadventitial hematoma must be considered in rare cases of AAD with pulmonary infiltration.