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Case Reports in Medicine
Volume 2017 (2017), Article ID 2760535, 4 pages
https://doi.org/10.1155/2017/2760535
Case Report

Rare Presentation of Left Lower Lobe Pulmonary Artery Dissection

1Department of Radiology, General Hospital Košice, 9 Masarykova, 040 01 Košice, Slovakia
2First Department of Internal Medicine, Louis Pasteur University Hospital, Trieda SNP 1, 041 90 Košice, Slovakia
3Department of Trauma Surgery, Faculty of Medicine, University of P. J. Šafarik, 43 Rastislavova, 040 01 Košice, Slovakia
4Department of Infectology and Travel Medicine, Faculty of Medicine, University of P. J. Šafarik, 43 Rastislavova, 040 01 Košice, Slovakia
5Department of Internal Medicine, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland

Correspondence should be addressed to Štefan Tóth; ks.sjpu@htot.nafets

Received 26 July 2016; Accepted 22 November 2016; Published 5 January 2017

Academic Editor: Jagdish Butany

Copyright © 2017 René Hako et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Pulmonary arterial dissection with chronic pulmonary arterial hypertension as its major cause is a very rare but life-threatening condition. In most cases the main pulmonary trunk is the affected site usually without involvement of its branches. Segmental or lobar pulmonary artery dissection is extremely rare. Case Presentation. We report a unique case of left lower lobe pulmonary artery dissection in a 70-year-old male, with confirmed chronic pulmonary hypertension. To confirm dissection MDCT pulmonary angiography was used. Multiplanar reformation (MPR) images in sagittal, coronal, oblique sagittal, and curved projections were generated. This case report presents morphologic CT features of rare chronic left lobar pulmonary artery dissection associated with chronic pulmonary hypertension at a place of localised pulmonary artery calcification. CT pulmonary angiography excluded signs of thromboembolism and potential motion or flow artefacts. Conclusion. To the best of our knowledge, no case of lower lobe pulmonary artery dissection with flap calcification has been reported yet. CT imaging of the chest is a key diagnostic tool that is able to detect an intimal flap and a false lumen within the pulmonary arterial tree and is preferred in differential diagnosis of rare complications of sustained pulmonary arterial hypertension.