Brown K T, Bach A M
Department of Radiology, St Luke's/Roosevelt Hospital Center, New York, NY 10019.
J Vasc Interv Radiol. 1992 Feb;3(1):99-102. doi: 10.1016/s1051-0443(92)72198-8.
The authors describe a patient with chronic thromboembolic pulmonary hypertension. At pulmonary angiography, only severe hypertension with pruning of peripheral vessels was seen; the right pulmonary artery appeared normal. Despite the limited use of a nonionic contrast material, the patient died 11 hours after the study. At autopsy, a laminated well-organized thrombus that occupied virtually all of the right pulmonary artery and adhered to the vessel wall was seen. Other modalities should be investigated to help establish the diagnosis of chronic thromboembolic pulmonary hypertension.
作者描述了一名患有慢性血栓栓塞性肺动脉高压的患者。在肺动脉血管造影中，仅见外周血管变细的重度高血压表现；右肺动脉看起来正常。尽管使用的非离子型造影剂剂量有限，但患者在检查后11小时死亡。尸检时，可见一个分层且组织良好的血栓，几乎占据了整个右肺动脉并附着于血管壁。应研究其他检查方法以协助慢性血栓栓塞性肺动脉高压的诊断。
