Auger W R, Fedullo P F, Moser K M, Buchbinder M, Peterson K L
Pulmonary and Critical Care Division, University of California, San Diego Medical Center 92103-8381.
Radiology. 1992 Feb;182(2):393-8. doi: 10.1148/radiology.182.2.1732955.
The pulmonary angiograms of 250 patients evaluated for chronic thromboembolic pulmonary hypertension were reviewed. Pulmonary thromboendarterectomy was performed in each of these individuals, and the surgical findings were correlated with abnormal angiographic patterns. The pulmonary angiographic findings suggestive of chronic thromboembolic disease included "pouching" defects, webs or bands, intimal irregularities, abrupt vascular narrowing, and complete vascular obstruction. Pouching is reported by the authors to be a previously undescribed angiographic feature of this disease. Carefully obtained and properly interpreted pulmonary angiograms are necessary to confirm the diagnosis of operable chronic thromboembolic disease. Differential diagnostic possibilities should be considered prior to a decision to perform surgical correction.
回顾了250例因慢性血栓栓塞性肺动脉高压接受评估患者的肺血管造影。这些患者均接受了肺动脉血栓内膜剥脱术，手术结果与异常血管造影模式相关。提示慢性血栓栓塞性疾病的肺血管造影表现包括“袋状”缺损、条索或束带、内膜不规则、血管突然狭窄和完全性血管阻塞。作者报告袋状表现是该疾病此前未描述过的血管造影特征。为确诊可手术治疗的慢性血栓栓塞性疾病，必须仔细获取并正确解读肺血管造影。在决定进行手术矫正之前，应考虑鉴别诊断的可能性。
