An unusual presentation of pulmonary artery dissection
- S L Hoye1,
- C P Gale2,
- D J M Tolan3,
- C B Pepper1
- 1Department of Cardiology, Leeds General Infirmary, Leeds, UK
- 2Division of Cardiovascular and Diabetes Research, Leeds Institute of Genetics Health and Therapeutics, University of Leeds, UK
- 3Department of Clinical Radiology, Leeds General Infirmary, Leeds, UK
- Dr S L Hoye, Leeds General Infirmary, Great George Street, Leeds, West Yorkshire LS1 3EX, UK; sarahhoye{at}hotmail.com
- Accepted 3 September 2008
A morbidly obese woman presented with exertional dyspnoea and leg swelling. Past medical history included deep venous thrombosis and atrial fibrillation. Arterial blood gases demonstrated chronic respiratory acidosis and type 2 respiratory failure. Further evaluation consisted of spirometry (restrictive defect), Epworth scoring, overnight pulse oximetry (median oxygen saturation 68%) and echocardiography (pulmonary artery pressure 59 mm Hg). CT pulmonary angiography excluded signs of acute or …









