1. Haemodynamic changes due to systemic arterial shunts in a destroyed lung mimicking pulmonary thromboembolism on CT
- Author
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Samir Mustaffa Paruthikunnan, Anand Abhishek, K V Rajagopal, and Ramakrishna Narayanan
- Subjects
medicine.medical_specialty ,Hemodynamics ,Computed tomography ,Pulmonary Artery ,Article ,Pulmonary tuberculosis ,Internal medicine ,medicine.artery ,medicine ,Humans ,Lung ,medicine.diagnostic_test ,business.industry ,Angiography ,Arterial embolus ,General Medicine ,Middle Aged ,Right pulmonary artery ,medicine.anatomical_structure ,Pulmonary artery ,Cardiology ,Female ,Tomography, X-Ray Computed ,business - Abstract
A 51-year-old woman presented to our department with multiple episodes of massive haemoptysis. She had a history of pulmonary tuberculosis. High-resolution CT scan showed a completely destroyed right lung with fibrocavitatory changes (figure 1). CT pulmonary and bronchial angiography was performed, which showed non-enhancement of the right pulmonary artery in the pulmonary angiographic phase, leading to suspicion of a pulmonary arterial embolus (figure 2). The bronchial angiographic phase showed brilliant enhancement of the right pulmonary artery and its branches through reversed filling via multiple systemic collaterals arising …
- Published
- 2015
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