%0 Journal Article
%T Medical image of the week: refractory dyspnea
%A Malo J
%A Reyes N
%A Rischard F
%J Southwest Journal of Pulmonary and Critical Care
%D 2012
%I Arizona Thoracic Society
%X A 61 year old man with an extensive smoking history and emphysema was referred for evaluation of dyspnea refractory to standard therapy. He was diagnosed with a pulmonary embolism 5 months prior to presentation and has been on warfarin since that time. Review of the patient¡¯s CT scan performed prior to the visit demonstrated dilated main; right; and left pulmonary arteries (Figure 1). Also visualized was an eccentrically located thrombus with areas of calcification and central recanalization. Echocardiography confirmed the presence of elevated pulmonary pressures consistent with a diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH). Medical therapy and a referral for pulmonary artery endarterectomy are being considered.
%K pulmonary artery hypertension
%K pulmonary embolus
%K thromboembolic pulmonary artery hypertension
%K PAH
%K dyspnea
%U http://www.swjpcc.com/imaging/2012/12/26/medical-image-of-the-week-refractory-dyspnea.html