Pulmonary hypertension

Case contributed by Dr David Cuete

Presentation

Heart failure on echocardiography. Exclude chronic pulmonary thromboembolism.

Patient Data

Age: 60
Gender: Female
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
Published: 11th Jul 2015
Last edited: 3rd Jun 2019
System: Vascular, Chest
Inclusion in quiz mode: Included

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