Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Pulmonary Embolism and Deep Vein Thrombosis Complicating Acute Aortic Dissection during Medical Treatment
Satoshi Morimoto, Takehiko Izumi, Toshiyuki Sakurai, Kimiaki Komukai, Makoto Kawai, Hidenori Yagi, Kenichi Hongo, Takahiro Shibata, Seibu Mochizuki
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Keywords: acute aortic dissection, pulmonary embolism, deep vein thrombus, medical treatment, inferior vena caval filter
JOURNAL OPEN ACCESS

2007 Volume 46 Issue 8 Pages 477-480

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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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© 2007 by The Japanese Society of Internal Medicine
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