{"title":"Imaging of Chronic Thromboembolic Pulmonary Hypertension.","authors":"Lewis D Hahn, Jonathan H Chung","doi":"10.1016/j.rcl.2024.10.004","DOIUrl":null,"url":null,"abstract":"<p><p>Chronic thromboembolic pulmonary hypertension (CTEPH) is pulmonary hypertension secondary to chronic obstruction of pulmonary arteries by organized thromboemboli. Echocardiography and Echocardiography and ventilation/perfusion (V/Q) scan are the initial screening examinations for CTEPH; the diagnosis is often missed on computed tomography (CT). Imaging findings of chronic thromboembolic pulmonary disease overlap with those of acute pulmonary embolism, and radiologists should evaluate for the presence of concurrent chronic disease in all cases of acute pulmonary embolism detected on CT pulmonary angiography. Conditions that can mimic CTEPH include in situ thrombus, vasculitis, pulmonary artery sarcoma, and fibrosing mediastinitis.</p>","PeriodicalId":49637,"journal":{"name":"Radiologic Clinics of North America","volume":"63 2","pages":"223-234"},"PeriodicalIF":2.1000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiologic Clinics of North America","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.rcl.2024.10.004","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/12 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Chronic thromboembolic pulmonary hypertension (CTEPH) is pulmonary hypertension secondary to chronic obstruction of pulmonary arteries by organized thromboemboli. Echocardiography and Echocardiography and ventilation/perfusion (V/Q) scan are the initial screening examinations for CTEPH; the diagnosis is often missed on computed tomography (CT). Imaging findings of chronic thromboembolic pulmonary disease overlap with those of acute pulmonary embolism, and radiologists should evaluate for the presence of concurrent chronic disease in all cases of acute pulmonary embolism detected on CT pulmonary angiography. Conditions that can mimic CTEPH include in situ thrombus, vasculitis, pulmonary artery sarcoma, and fibrosing mediastinitis.
期刊介绍:
Radiologic Clinics of North America brings you comprehensive, clinical information that can be applied directly to your practice. Each bimonthly issue (January, March, May, July, September, and November) examines a current topic in radiology under the guidance of a editor specializing in the field. You''ll find detailed review articles written by leading experts, along with high-quality radiographs, MR images, CT scans, and sonograms. Topics include body imaging, interventional radiology, breast imaging, cardiac imaging, emergency imaging, female pelvic imaging, gastrointestinal imaging, musculoskeletal imaging, neurologic imaging, pediatric imaging, respiratory imaging, and vascular imaging. In addition, you can also purchase a CME subscription that offers up to 90 AMA Category 1 credits per year.