Chronic pulmonary emboli and radiologic mimics on CT pulmonary angiography: A diagnostic challenge

Chest

Volumn 143, Issue 5, 2013, Pages 1460-1471

  Wijesuriya, Shalini ^a   Chandratreya, Ladli ^a   Medford, Andrew R ^a  

^a SOUTHMEAD HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AORTA ARCH SYNDROME; CLINICAL FEATURE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHIC PULMONARY ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DIFFERENTIAL DIAGNOSIS; DISEASE COURSE; EARLY DIAGNOSIS; ENDARTERECTOMY; HUMAN; IMAGE ANALYSIS; LUNG ANGIOGRAPHY; LUNG ARTERY SARCOMA; LUNG EMBOLISM; LUNG INFARCTION; LUNG SARCOMA; MAGNETIC RESONANCE ANGIOGRAPHY; MORBIDITY; MORTALITY; PHLEBOGRAPHY; PRIORITY JOURNAL; PULMONARY HYPERTENSION; REVIEW; THROMBOEMBOLISM;

EID: 84877617018     PISSN: 00123692     EISSN: 19313543     Source Type: Journal    
DOI: 10.1378/chest.12-1384     Document Type: Article

References (60)

1. Horlander KT, Mannino DM, Leeper KV. Pulmonary embolism mortality in the United States, 1979-1998: an analysis using multiple-cause mortality data. Arch Intern Med. 2003;163(14):1711-1717. (Pubitemid 36898960)
2. Wittram C, Maher MM, Yoo AJ, Kalra MK, Shepard JA, McLoud TC. CT angiography of pulmonary embolism: diagnostic criteria and causes of misdiagnosis. Radiographics. 2004;24(5):1219-1238. (Pubitemid 39329368)
3. Moser KM, Bloor CM. Pulmonary vascular lesions occurring in patients with chronic major vessel thromboembolic pulmonary hypertension. Chest. 1993;103(3):685-692. (Pubitemid 23086157)
4. Castañer E, Gallardo X, Ballesteros E, et al. CT diagnosis of chronic pulmonary thromboembolism. Radiographics. 2009;29(1):31-50.
5. Fedullo PF, Auger WR, Kerr KM, Rubin LJ. Chronic thromboembolic pulmonary hypertension. N Engl J Med. 2001;345(20):1465-1472.
6. Pengo V, Lensing AW, Prins MH, et al Thromboembolic Pulmonary Hypertension Study Group. Incidence of chronic thromboembolic pulmonary hypertension after pulmonary embolism. N Engl J Med. 2004;350(22):2257-2264.
7. Jamieson SW, Kapelanski DP, Sakakibara N, et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg. 2003;76(5):1457-1462.
8. Archibald CJ, Auger WR, Fedullo PF, et al. Long-term outcome after pulmonary thromboendarterectomy. Am J Respir Crit Care Med. 1999;160(2):523-528. (Pubitemid 29380667)
9. Lewczuk J, Piszko P, Jagas J, et al. Prognostic factors in medically treated patients with chronic pulmonary embolism. Chest. 2001;119(3):818-823. (Pubitemid 32197654)
10. Tunariu N, Gibbs SJ, Win Z, et al. Ventilation-perfusion scintigraphy is more sensitive than multidetector CTPA in detecting chronic thromboembolic pulmonary disease as a treatable cause of pulmonary hypertension. J Nucl Med. 2007;48(5):680-684. (Pubitemid 47604965)
11. Jenkins D, Mayer E, Screaton N, Madani M. State-of-the-art chronic thromboembolic pulmonary hypertension diagnosis and management. Eur Respir Rev. 2012;21(123):32-39.
12. Hoey ET, Mirsadraee S, Pepke-Zaba J, Jenkins DP, Gopalan D, Screaton NJ. Dual-energy CT angiography for assessment of regional pulmonary perfusion in patients with chronic thromboembolic pulmonary hypertension: initial experience. AJR Am J Roentgenol. 2011;196(3):524-532.
13. Hagspiel KD, Flors L, Housseini AM, et al. Pulmonary blood volume imaging with dual-energy computed tomography: spectrum of findings. Clin Radiol. 2012;67(1):69-77.
14. Kang MJ, Park CM, Lee CH, Goo JM, Lee HJ. Dualenergy CT: clinical applications in various pulmonary diseases. Radiographics. 2010;30(3):685-698.
15. Wolff K, Bergin CJ, King MA, et al. Accuracy of contrastenhanced magnetic resonance angiography in chronic thromboembolic disease. Acad Radiol. 1996;3(1):10-17.
16. Stein PD, Chenevert TL, Fowler SE, et al PIOPED III (Prospective Investigation of Pulmonary Embolism Diagnosis III) Investigators. Gadolinium-enhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III). Ann Intern Med. 2010;152(7):434-443.
17. Kreitner KF, Ley S, Kauczor HU, et al. Chronic thromboembolic pulmonary hypertension: pre- and postoperative assessment with breath-hold MR imaging techniques. Radiology. 2004;232(2):535-543. (Pubitemid 38971297)
18. Sadigh G, Kelly AM, Cronin P. Challenges, controversies, and hot topics in pulmonary embolism imaging. AJR Am J Roentgenol. 2011;196(3):497-515.
19. Stein PD, Woodard PK, Weg JG, et al; PIOPED II investigators. Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II investigators. Am J Med. 2006;119(12):1048-1055. (Pubitemid 44826939)
20. Goodman LR, Stein PD, Matta F, et al. CT venography and compression sonography are diagnostically equivalent: data from PIOPED II. AJR Am J Roentgenol. 2007;189(5):1071-1076. (Pubitemid 350032993)
21. Wittram C, Kalra MK, Maher MM, Greenfield A, McLoud TC, Shepard JA. Acute and chronic pulmonary emboli: angiography-CT correlation. AJR Am J Roentgenol. 2006;186(6)(suppl 2):S421-S429. (Pubitemid 46105415)
22. Korn D, Gore I, Blenke A, Collins DP. Pulmonary arterial bands and webs: an unrecognized manifestation of organized pulmonary emboli. Am J Pathol. 1962;40:129-151.
23. Hasegawa I, Boiselle PM, Hatabu H. Bronchial artery dilatation on MDCT scans of patients with acute pulmonary embolism: comparison with chronic or recurrent pulmonary embolism. AJR Am J Roentgenol. 2004;182(1):67-72. (Pubitemid 38017719)
24. Endrys J, Hayat N, Cherian G. Comparison of bronchopulmonary collaterals and collateral blood flow in patients with chronic thromboembolic and primary pulmonary hypertension. Heart. 1997;78(2):171-176. (Pubitemid 27404954)
25. Kauczor HU, Schwickert HC, Mayer E, Schweden F, Schild HH, Thelen M. Spiral CT of bronchial arteries in chronic thromboembolism. J Comput Assist Tomogr. 1994;18(6):855-861. (Pubitemid 24346622)
26. Remy-Jardin M, Duhamel A, Deken V, Bouaziz N, Dumont P, Remy J. Systemic collateral supply in patients with chronic thromboembolic and primary pulmonary hypertension: assessment with multi-detector row helical CT angiography. Radiology. 2005;235(1):274-281. (Pubitemid 40432265)
27. Devaraj A, Hansell DM. Computed tomography signs of pulmonary hypertension: old and new observations. Clin Radiol. 2009;64(8):751-760.
28. Prakash R, Matsukubo H. Usefulness of echocardiographic right ventricular measurements in estimating right ventricular hypertrophy and right ventricular systolic pressure. Am J Cardiol. 1983;51(6):1036-1040. (Pubitemid 13154266)
29. King MA, Ysrael M, Bergin CJ. Chronic thromboembolic pulmonary hypertension: CT findings. AJR Am J Roentgenol. 1998;170(4):955-960. (Pubitemid 28172881)
30. Fischer A, Misumi S, Curran-Everett D, et al. Pericardial abnormalities predict the presence of echocardiographically defined pulmonary arterial hypertension in systemic sclerosis-related interstitial lung disease. Chest. 2007;131(4):988-992. (Pubitemid 46608697)
31. Galiè N, Kim NH. Pulmonary microvascular disease in chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc. 2006;3(7):571-576. (Pubitemid 44411622)
32. Baque-Juston MC, Wells AU, Hansell DM. Pericardial thickening or effusion in patients with pulmonary artery hypertension: a CT study. AJR Am J Roentgenol. 1999;172(2):361-364. (Pubitemid 29082644)
33. Raymond RJ, Hinderliter AL, Willis PW, et al. Echocar diographic predictors of adverse outcomes in primary pulmonary hypertension. J Am Coll Cardiol. 2002;39(7):1214-1219. (Pubitemid 34267428)
34. Hoeper MM. The new definition of pulmonary hypertension. Eur Respir J. 2009;34(4):790-791.
35. Simonneau G, Robbins IM, Beghetti M, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2009;54(1 Suppl):S43-S54.
36. van Beek E, Elliot C, Kiely D. Diagnosis and initial treatment of patients with suspected pulmonary thromboembolism. Contin Educ Anaesth Crit Care Pain. 2009;9(4):119-124.
37. Tan RT, Kuzo R, Goodman LR, Siegel R, Haasler GB, Presberg KW; Medical College of Wisconsin Lung Transplant Group. Utility of CT scan evaluation for predicting pulmonary hypertension in patients with parenchymal lung disease. Chest. 1998;113(5):1250-1256. (Pubitemid 28223812)
38. Ng CS, Wells AU, Padley SP. A CT sign of chronic pulmonary arterial hypertension: the ratio of main pulmonary artery to aortic diameter. J Thorac Imaging. 1999;14(4):270-278. (Pubitemid 29470994)
39. Agarwal R, Singh N, Gupta D. Pleural effusions associated with pulmonary thromboembolism: a systematic review. Indian J Chest Dis Allied Sci. 2009;51:159.
40. Erkan L, Fýndýk S, Uzun O, Atýcý AG, Light RW. A new radiologic appearance of pulmonary thromboembolism: multiloculated pleural effusions. Chest. 2004;126(1):298-302. (Pubitemid 38943150)
41. Stern EJ, Swensen SJ, Hartman TE, Frank MS. CT mosaic pattern of lung attenuation: distinguishing different causes. AJR Am J Roentgenol. 1995;165(4):813-816.
42. Stern EJ, Müller NL, Swensen SJ, Hartman TE. CT mosaic pattern of lung attenuation: etiologies and terminology. J Thorac Imaging. 1995;10(4):294-297.
43. Morgenthaler TI, Ryu JH, Utz JP. Cavitary pulmonary infarct in immunocompromised hosts. Mayo Clin Proc. 1995;70(1):66-68.
44. Remy-Jardin M, Remy J, Louvegny S, Artaud D, Deschildre F, Duhamel A. Airway changes in chronic pulmonary embolism: CT findings in 33 patients. Radiology. 1997;203(2):355-360. (Pubitemid 27176205)
45. Wilson AG, Joseph AE, Butland RJ. The radiology of aseptic cavitation in pulmonary infarction. Clin Radiol. 1986;37(4):327-333. (Pubitemid 16057259)
46. Hall FM, Salzman EW, Ellis BI, Kurland GS. Pneumothorax complicating aseptic cavitating pulmonary infarction. Chest. 1977;72(2):232-234. (Pubitemid 8163755)
47. Stern EJ, Sun H, Haramati LB. Peripheral bronchopleural fistulas: CT imaging features. AJR Am J Roentgenol. 1996;167(1):117-120. (Pubitemid 26196922)
48. Wittram C, Maher MM, Halpern EF, Shepard JA. Attenuation of acute and chronic pulmonary emboli. Radiology. 2005;235(3):1050-1054. (Pubitemid 40695908)
49. Badesch DB, Abman SH, Simonneau G, Rubin LJ, McLaughlin VV. Medical therapy for pulmonary arterial hypertension: updated ACCP evidence-based clinical practice guidelines. Chest. 2007;131(6):1917-1928. (Pubitemid 46981654)
50. Bergin CJ, Rios G, King MA, Belezzuoli E, Luna J, Auger WR. Accuracy of high-resolution CT in identifying chronic pulmonary thromboembolic disease. AJR Am J Roentgenol. 1996;166(6):1371-1377. (Pubitemid 26160592)
51. Castañer E, Gallardo X, Rimola J, et al. Congenital and acquired pulmonary artery anomalies in the adult: radiologic overview. Radiographics. 2006;26(2):349-371. (Pubitemid 43515311)
52. Djordjevic I, Pejcic T, Rancic M, et al. Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report. J Med Case Reports. 2009;3:64.
53. Han D, Lee KS, Franquet T, et al. Thrombotic and nonthrombotic pulmonary arterial embolism: spectrum of imaging findings. Radiographics. 2003;23(6):1521-1539. (Pubitemid 37487528)
54. Shepard JA, Moore EH, Templeton PA, McLoud TC. Pulmonary intravascular tumor emboli: dilated and beaded peripheral pulmonary arteries at CT. Radiology. 1993;187(3):797-801. (Pubitemid 23155715)
55. Kieffer SA, Amplatz K, Anderson RC, Lillehei CW. Proximal interruption of a pulmonary artery. Am J Roentgenol Radium Ther Nucl Med. 1965;95(3):592-597.
56. Matsunaga N, Hayashi K, Sakamoto I, Ogawa Y, Matsumoto T. Takayasu arteritis: protean radiologic manifestations and diagnosis. Radiographics. 1997;17(3):579-594. (Pubitemid 127465378)
57. McNeil K, Dunning J. Chronic thromboembolic pulmonary hypertension (CTEPH). Heart. 2007;93(9):1152-1158. (Pubitemid 47311004)
58. Pepke-Zaba J. Diagnostic testing to guide the management of chronic thromboembolic pulmonary hypertension: state of the art. Eur Respir Rev. 2010;19(115):55-58.
59. Mayer E. Surgical and post-operative treatment of chronic thromboembolic pulmonary hypertension. Eur Respir Rev. 2010;19(115):64-67.
60. Dartevelle P, Fadel E, Mussot S, et al. Chronic thromboembolic pulmonary hypertension. Eur Respir J. 2004;23(4):637-648. (Pubitemid 38456010)