Pulmonary Artery Dissection Caused by Complex Congenital Heart Disease: A Case Report

Arterial dissection usually occurs in the aorta, but it is very rare in the pulmonary arteries. This report described a 42-year-old patient diagnosed with pulmonary artery dissection (PAD) by bedside transthoracic echocardiography. Notably, the patient had uncorrected patent ductus arteriosus and ventricular septal defect. The patient died soon after refusing any intervention. This case is an example of how uncorrected congenital heart disease can have catastrophic consequences in PAD, while highlighting the multiple effects of patent pulmonary ductus closure on pulmonary artery dissection. Echocardiography can assist in the diagnosis of PAD and should be considered an important tool for diagnosing and tracking the progression of the disease.