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Ann Thorac Surg 1996;61:988-990
© 1996 The Society of Thoracic Surgeons

Case Report

Right Ventricular Obstruction in Aortic Dissection: A Mechanism of Hemodynamic Collapse

Robert J. Downey, MD, John H. M. Austin, MD, Paolo Pepino, MD, Marc L. Dickstein, MD, Shunichi Homma, MD, Eric A. Rose, MD

Division of Cardiothoracic Surgery, Departments of Radiology, Anesthesiology, and Medicine, Columbia-Presbyterian Medical Center, New York, New York

Accepted for publication September 15, 1995.

The main and right pulmonary arteries may be compressed by the false lumen of a type I aortic dissection. We report a 73-year-old women with a dissection of the aorta in whom echocardiographic examination revealed acute pulmonary arterial compression causing right ventricular failure and hemodynamic collapse.






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