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Images in Clinical Medicine
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Volume 344:644 March 1, 2001 Number 9
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Chronic Thromboembolic Pulmonary Hypertension

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A previously healthy 35-year-old man had increasing dyspnea on exertion over a period of several months. The results of a physical examination and transthoracic echocardiography suggested that he had pulmonary arterial hypertension and severe tricuspid regurgitation. A contrast-enhanced helical computed tomographic (CT) scan of the chest was obtained to look for evidence of pulmonary thromboembolism and to assess the lung parenchyma. Contiguous axial CT images through the main pulmonary arteries (Panel A) showed eccentric endothelialized thrombi in both pulmonary arteries (arrows). A CT image obtained at the level of the aortic arch (Panel B) showed a disparity in the pulmonary . . . [Full Text of this Article]

 



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