Pulmonary hypertension

Case contributed by Dr David Cuete

Presentation

Heart failure on echocardiography. Exclude chronic pulmonary thromboembolism.

Patient Data

Age: 60
Gender: Female
Modality: CT

Computed tomography angiogram shows no filling defect  within the pulmonary arterial tree to suggest pulmonary embolism but shows a marked enlargement of main pulmonary artery measuring  3.59 cm in diameter, suggestive of pulmonary arterial hypertension. Also enlarge right ventricle compared to the left ventricle due to the raised pressure in right heart also noted. In the lung window, pulmonary fibrosis with UIP pattern type is present.

Case Discussion

Pulmonary hypertension is defined as an increase in mean pulmonary arterial pressure ≥25 mm Hg. In this case pulmonary hypertension is associated with pulmonary parenchymal fibrosis.

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Case Information

rID: 36540
Case created: 28th Apr 2015
Last edited: 23rd Dec 2016
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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