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Thorax 64:368 doi:10.1136/thx.2008.101105
  • Images in Thorax

An unusual presentation of pulmonary artery dissection

  1. S L Hoye1,
  2. C P Gale2,
  3. D J M Tolan3,
  4. C B Pepper1
  1. 1
    Department of Cardiology, Leeds General Infirmary, Leeds, UK
  2. 2
    Division of Cardiovascular and Diabetes Research, Leeds Institute of Genetics Health and Therapeutics, University of Leeds, UK
  3. 3
    Department of Clinical Radiology, Leeds General Infirmary, Leeds, UK
  1. 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 …

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