[Pulmonary hypertension: CT findings in pulmonary veno-occlusive disease].

Abstract

PURPOSE:

To describe the CT findings of pulmonary veno-occlusive disease.

MATERIALS AND METHODS:

Pre-therapeutic CT of 15 patients suffering from pulmonary veno-occlusive disease were retrospectively reviewed. Pathologic evaluation of pulmonary veno-occlusive disease was obtained after post mortem examination or pulmonary transplantation. CT protocol always included intravenous helical CT and high resolution CT.

RESULTS:

The most frequent CT-findings in pulmonary veno-occlusive disease were the following: ground glass opacity with poorly defined nodular opacities (73%), septal lines (93%), and adenopathy (80%). Pericardial (60%) and pleural effusions (27%) were also noted. Other parenchymal findings were unusual.

CONCLUSION:

HRCT must be systematically included in the initial CT evaluation of pulmonary hypertension. Combination of poorly defined nodular opacities, septal lines, and adenopathy are indicative of pulmonary veno-occlusive disease.

• Authors: A Resten, S Maître, F Capron, G Simonneau, D Musset
• Journal: Journal de radiologie (J Radiol) Vol. 84 Issue 11 Pt 1 Pg. 1739-45 (Nov 2003) ISSN: 0221-0363 [Print] France
• Vernacular Title: Hypertension pulmonaire: aspect tomodensitométrique de la maladie veino-occlusive.
• PMID: 15022986 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Humans
• Hypertension, Pulmonary (etiology)
• Male
• Middle Aged
• Pulmonary Veno-Occlusive Disease (complications, diagnostic imaging)
• Retrospective Studies
• Tomography, X-Ray Computed