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Pulmonary artery intramural haematoma: an unusual cause of sudden death in patients with chronic pulmonary hypertension
  1. Elena Fortuny1,
  2. Isidre Vilacosta1,
  3. Ana Viana-Tejedor1,
  4. Issa Subhi-Issa2
  1. 1Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain
  2. 2Pathology Department, Hospital Clínico San Carlos, Madrid, Spain
  1. Correspondence to Dr Elena Fortuny, Cardiology Department, Hospital Clínico San Carlos, Professor Martin Lagos s/n, Madrid 28040, Spain; gelfortuny{at}

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A 70-year-old woman with history of chronic idiopathic pulmonary hypertension was admitted to the cardiology department because of sudden onset of chest pain and dyspnoea.

A transthoracic echocardiogram showed moderate pericardial effusion without signs of cardiac tamponade and extremely severe pulmonary hypertension (figure 1A).

Figure 1

(A) Severe pulmonary hypertension estimated by echo Doppler. (B) Huge dilatation of the pulmonary trunk (48 mm) and both pulmonary arteries in the contrast-enhanced CT. (C) Severe dilatation of the pulmonary artery (PA) …

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