eMedicine Specialties > Radiology > Chest

Pulmonary Hypertension: Multimedia

Author: Davinder Jassal, MD, BSc, FACC, FRCPC, Clinical and Research Cardiac Echocardiography Fellow, Department of Cardiology, Massachusetts General Hospital, Harvard Medical School
Coauthor(s): Sat Sharma, MD, FRCPC, Professor and Head, Division of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba; Site Director, Respiratory Medicine, St. Boniface General Hospital; Bruce Maycher, MD, Director of Pulmonary Radiology, St Boniface General Hospital; Associate Professor, Department of Radiology, University of Manitoba
Contributor Information and Disclosures

Updated: Apr 21, 2009

Multimedia

Pulmonary hypertension. Chest radiograph in a pat...Media file 1: Pulmonary hypertension. Chest radiograph in a patient with secondary pulmonary hypertension reveals enlarged pulmonary arteries. This patient was found to have an atrial septal defect.
Pulmonary hypertension. Chest radiograph in a pat...

Pulmonary hypertension. Chest radiograph in a patient with secondary pulmonary hypertension reveals enlarged pulmonary arteries. This patient was found to have an atrial septal defect.

Pulmonary hypertension. Spiral CT scan in a patie...Media file 2: Pulmonary hypertension. Spiral CT scan in a patient with pulmonary hypertension reveals enlarged pulmonary arteries and an absence of thrombosis.
Pulmonary hypertension. Spiral CT scan in a patie...

Pulmonary hypertension. Spiral CT scan in a patient with pulmonary hypertension reveals enlarged pulmonary arteries and an absence of thrombosis.

Pulmonary hypertension. CT pulmonary angiogram in...Media file 3: Pulmonary hypertension. CT pulmonary angiogram in a 42-year-old man who experienced severe chest pain after a long flight. Image demonstrates clots in both the right and left main pulmonary arteries.
Pulmonary hypertension. CT pulmonary angiogram in...

Pulmonary hypertension. CT pulmonary angiogram in a 42-year-old man who experienced severe chest pain after a long flight. Image demonstrates clots in both the right and left main pulmonary arteries.

Pulmonary hypertension. Ventilation-perfusion (V/...Media file 4: Pulmonary hypertension. Ventilation-perfusion (V/Q) scans show bilateral mismatched segmental and subsegmental defects due to chronic thromboembolic disease, which has lead to secondary pulmonary arterial hypertension.
Pulmonary hypertension. Ventilation-perfusion (V/...

Pulmonary hypertension. Ventilation-perfusion (V/Q) scans show bilateral mismatched segmental and subsegmental defects due to chronic thromboembolic disease, which has lead to secondary pulmonary arterial hypertension.

Pulmonary hypertension. Selective right pulmonary...Media file 5: Pulmonary hypertension. Selective right pulmonary arteriogram demonstrates large central pulmonary arteries and attenuation of the peripheral vessels, without any definite demonstrable thrombi.
Pulmonary hypertension. Selective right pulmonary...

Pulmonary hypertension. Selective right pulmonary arteriogram demonstrates large central pulmonary arteries and attenuation of the peripheral vessels, without any definite demonstrable thrombi.

Pulmonary hypertension. Selective left pulmonary ...Media file 6: Pulmonary hypertension. Selective left pulmonary arteriogram reveals large central pulmonary arteries and attenuation of the peripheral vessels, without thrombi.
Pulmonary hypertension. Selective left pulmonary ...

Pulmonary hypertension. Selective left pulmonary arteriogram reveals large central pulmonary arteries and attenuation of the peripheral vessels, without thrombi.

Pulmonary hypertension. Image shows an example of...Media file 7: Pulmonary hypertension. Image shows an example of the successful resolution of secondary pulmonary arterial hypertension in a patient who underwent pulmonary arterial thromboendarterectomy with the removal of thrombi.
Pulmonary hypertension. Image shows an example of...

Pulmonary hypertension. Image shows an example of the successful resolution of secondary pulmonary arterial hypertension in a patient who underwent pulmonary arterial thromboendarterectomy with the removal of thrombi.

More on Pulmonary Hypertension

Overview: Pulmonary Hypertension
Imaging: Pulmonary Hypertension
Follow-up: Pulmonary Hypertension
Multimedia: Pulmonary Hypertension
References
Further Reading

References

  1. [Best Evidence] Condliffe R, Kiely DG, Peacock AJ, Corris PA, Gibbs JS, Vrapi F, et al. Connective tissue disease-associated pulmonary arterial hypertension in the modern treatment era. Am J Respir Crit Care Med. Jan 15 2009;179(2):151-7. [Medline].

  2. Revel MP, Faivre JB, Remy-Jardin M, Delannoy-Deken V, Duhamel A, Remy J. Pulmonary hypertension: ECG-gated 64-section CT angiographic evaluation of new functional parameters as diagnostic criteria. Radiology. Feb 2009;250(2):558-66. [Medline].

  3. Koito H. [The findings of computed tomography (CT) and magnetic resonance imaging (MRI) in pulmonary arterial hypertension]. Nippon Rinsho. Nov 2008;66(11):2114-23. [Medline].

  4. Devaraj A, Wells AU, Meister MG, Corte TJ, Hansell DM. The effect of diffuse pulmonary fibrosis on the reliability of CT signs of pulmonary hypertension. Radiology. Dec 2008;249(3):1042-9. [Medline].

  5. Kovacs G, Reiter G, Reiter U, Rienmüller R, Peacock A, Olschewski H. The emerging role of magnetic resonance imaging in the diagnosis and management of pulmonary hypertension. Respiration. 2008;76(4):458-70. [Medline].

  6. [Best Evidence] Galiè N, Manes A, Negro L, Palazzini M, Bacchi-Reggiani ML, Branzi A. A meta-analysis of randomized controlled trials in pulmonary arterial hypertension. Eur Heart J. Feb 2009;30(4):394-403. [Medline].

  7. Barst RJ, Rubin LJ, Long WA, et al. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension. The Primary Pulmonary Hypertension Study Group. N Engl J Med. Feb 1 1996;334(5):296-302. [Medline].

  8. Abman SH. Neonatal pulmonary hypertension: A physiologic approach to treatment. Pediatr Pulmonol. Feb 2004;37 Suppl 26:127-8.

  9. Aschner JL. New therapies for pulmonary hypertension in neonates and children. Pediatr Pulmonol. Feb 2004;37 Suppl 26:132-5.

  10. Christman BW, McPherson CD, Newman JH, et al. An imbalance between the excretion of thromboxane and prostacyclin metabolites in pulmonary hypertension. N Engl J Med. Jul 9 1992;327(2):70-5. [Medline].

  11. Frank H, Mlczoch J, Huber K, et al. The effect of anticoagulant therapy in primary and anorectic drug- induced pulmonary hypertension. Chest. Sep 1997;112(3):714-21. [Medline].

  12. Fraser RG, Pare JA, Pare PD. Pulmonary hypertension and edema. In: Diagnosis of Diseases of the Chest. Vol 3. 4th ed. Philadelphia: WB Saunders;. 1999.

  13. Gaine SP, Rubin LJ. Primary pulmonary hypertension [published erratum appears in Lancet 1999 Jan 2;353(9146):74]. Lancet. Aug 29 1998;352(9129):719-25. [Medline].

  14. Gonçalves RC, Buschpigell CA, Lopes AA. Circulating blood volumes in pulmonary hypertension associated with erythrocytosis--the effects of therapeutic hemodilution. Cardiol Young. Dec 2003;13(6):544-50. [Medline].

  15. Grossman W, Braunwald E. Pulmonary hypertension. In: Heart Disease: A Textbook of Cardiovascular Medicine. 4th ed. Philadelphia: WB Saunders;. 1997.

  16. Lilienfeld DE, Rubin LJ. Mortality from primary pulmonary hypertension in the United States, 1979-1996. Chest. Mar 2000;117(3):796-800. [Medline].

  17. Miller SW, Waltman AC. The pulmonary circulation. In: Radiology: Diagnosis, Imaging, Intervention. Philadelphia: Lippincott;. 2001.

  18. Morgan JM, Griffiths M, du Bois RM, Evans TW. Hypoxic pulmonary vasoconstriction in systemic sclerosis and primary pulmonary hypertension. Chest. Mar 1991;99(3):551-6. [Medline].

  19. Pistolesi M, Milne ENC. Radiology of cardiopulmonary hemodynamic disturbances. In: Radiology: Diagnosis, Imaging, and Intervention. Philadelphia: Lippincott;. 2001.

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  21. Rich S, Kaufmann E, Levy PS. The effect of high doses of calcium-channel blockers on survival in primary pulmonary hypertension. N Engl J Med. Jul 9 1992;327(2):76-81. [Medline].

  22. Rich S, Levitsky S, Brundage BH. Pulmonary hypertension from chronic pulmonary thromboembolism. Ann Intern Med. Mar 1988;108(3):425-34. [Medline].

  23. Rosenzweig EB, Kerstein D, Barst RJ. Long-term prostacyclin for pulmonary hypertension with associated congenital heart defects. Circulation. Apr 13 1999;99(14):1858-65. [Medline].

  24. Rubin LJ. Primary pulmonary hypertension. Chest. Jul 1993;104(1):236-50. [Medline].

  25. Rubin LJ. Primary pulmonary hypertension. N Engl J Med. Jan 9 1997;336(2):111-7. [Medline].

  26. Weiss BM, Zemp L, Seifert B, Hess OM. Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996. J Am Coll Cardiol. Jun 1998;31(7):1650-7. [Medline].

Keywords

pulmonary hypertension, pulmonary heart disease, vascular disease, hypertension, persistent fetal circulation syndrome, cardiovascular disease, primary pulmonary hypertension, PPH, secondary pulmonary arterial hypertension, SPAH

Contributor Information and Disclosures

Author

Davinder Jassal, MD, BSc, FACC, FRCPC, Clinical and Research Cardiac Echocardiography Fellow, Department of Cardiology, Massachusetts General Hospital, Harvard Medical School
Davinder Jassal, MD, BSc, FACC, FRCPC is a member of the following medical societies: American College of Cardiology, American College of Physicians-American Society of Internal Medicine, American Heart Association, and Canadian Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Sat Sharma, MD, FRCPC, Professor and Head, Division of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba; Site Director, Respiratory Medicine, St. Boniface General Hospital
Sat Sharma, MD, FRCPC is a member of the following medical societies: American Academy of Sleep Medicine, American College of Chest Physicians, American College of Physicians-American Society of Internal Medicine, American Thoracic Society, Canadian Medical Association, Royal College of Physicians and Surgeons of Canada, Royal Society of Medicine, Society of Critical Care Medicine, and World Medical Association
Disclosure: Nothing to disclose.

Bruce Maycher, MD, Director of Pulmonary Radiology, St Boniface General Hospital; Associate Professor, Department of Radiology, University of Manitoba
Bruce Maycher, MD is a member of the following medical societies: American Roentgen Ray Society, Canadian Medical Association, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Medical Editor

Judith K Amorosa, MD, FACR, Clinical Professor and Program Director, Department of Radiology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School; Consulting Staff, Department of Radiology, Robert Wood Johnson University Hospital
Judith K Amorosa, MD, FACR is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

John D Newell, Jr, MD, FACR, FCCP, FASER, Co-Director of Thoracic Imaging, UCDHSC; Director of Lung Imaging Center, Professor of Radiology and Professor of Medicine, Department of Radiology, University of Colorado Health Sciences Center, National Jewish Medical and Research Center; Univ. Colorado Hospital
John D Newell, Jr, MD, FACR, FCCP, FASER is a member of the following medical societies: American College of Chest Physicians, American College of Radiology, American Roentgen Ray Society, American Thoracic Society, Association of University Radiologists, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Siemens Medical Grant/research funds Consulting; Forevision Technologies Ownership interest Consulting; Vida Corporation Ownership interest Board membership; TeraRecon Grant/research funds Consulting; eMedicine Honoraria Consulting

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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