| Autor: |
Hidetaka Hayashi, MD, Seitaro Oda, MD, PhD, Masafumi Kidoh, MD, PhD, Miki Anai, MD, Kyoko Hirakawa, MD, PhD, Seiji Takashio, MD, PhD, Eiichiro Yamamoto, MD, PhD, Hiroto Takamure, MD, Naoya Moriguchi, MD, Kenichi Tsujita, MD, PhD, Toshinori Hirai, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Radiology Case Reports, Vol 19, Iss 2, Pp 671-674 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
1930-0433 |
| DOI: |
10.1016/j.radcr.2023.11.013 |
| Popis: |
Pulmonary arterial hypertension associated with portal hypertension, known as portopulmonary hypertension (PoPH) is one of the important and serious pulmonary complications in patients with portal hypertension. Although there are a large number of patients with portal hypertension due to mainly liver cirrhosis, the number of cases diagnosed with PoPH are far fewer because the causes of dyspnea in patients with cirrhosis are diverse and the disease entity of PoPH is poorly recognized by clinicians. We report here the case with PoPH suggested and assessed comprehensively by dual energy computed tomography (CT) including high-resolution pulmonary CT angiography, pulmonary perfusion imaging, myocardial late iodine enhancement imaging, and myocardial extracellular volume analysis. This refined CT imaging protocol can be used in conjunction with standard chest evaluation and offers a practical and useful approach for the noninvasive “one-stop shop” evaluation of PoPH. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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