Case report : Multimodality imaging of unusual coronary to pulmonary collaterals in chronic thromboembolic pulmonary hypertension

© 2023 Goyal, Avery, Cuttica, Flaherty, Malaisrie and Mylvaganam..

We present unusual coronary-pulmonary collaterals in a 65-year-old CTEPH patient. Perfusion mapping of a dual-energy computed tomography (DECT) study revealed areas of right lung that were minimally perfused despite unilateral occlusion of the right pulmonary artery, leading to the discovery of coronary-pulmonary collaterals via invasive coronary angiography. Pulmonary thromboendarterectomy removed the clot en-bloc. Post-surgery DECT and catheterization confirmed restoration of pulmonary arterial circulation and excellent hemodynamic response. Here, suggestion of perfusion to a proximally obstructed lung with DECT helped to document the presence of rarely documented coronary-pulmonary artery collaterals.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Frontiers in cardiovascular medicine - 10(2023) vom: 31., Seite 1204736

Sprache:

Englisch

Beteiligte Personen:

Goyal, Ansh [VerfasserIn]
Avery, Ryan [VerfasserIn]
Cuttica, Michael J [VerfasserIn]
Flaherty, James D [VerfasserIn]
Malaisrie, S Chris [VerfasserIn]
Mylvaganam, Ruben [VerfasserIn]

Links:

Volltext

Themen:

CTEPH
Case Reports
Chronic thromboembolic pulmonary hypertension
Collaterals
Coronary angiogram
DECT
Pulmonary angiography
Pulmonary endarterectomy

Anmerkungen:

Date Revised 01.07.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fcvm.2023.1204736

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358644496