A case of pulmonary artery intimal sarcoma diagnosed with multislice CT scan with 3D reconstruction

被引：30

作者：

Choi, EY ^{[1
]}

Yoon, YW ^{[1
]}

Kwon, HM ^{[1
]}

Kim, D ^{[1
]}

Park, BE ^{[1
]}

Hong, YS ^{[1
]}

Koo, JS ^{[1
]}

Kim, TH ^{[1
]}

Kim, HS ^{[1
]}

机构：

[1] Yonsei Univ, Coll Med, Div Cardiol, Dept Internal Med, Seoul 135720, South Korea

来源：

YONSEI MEDICAL JOURNAL | 2004年 / 45卷 / 03期

关键词：

pulmonary artery intimal sarcoma; helical CT with 3D reconstruction; echocardiography;

D O I：

10.3349/ymj.2004.45.3.547

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pulmonary artery intimal sarcoma is a rare highly lethal disease, with additional retrograde extension to pulmonic valve and right ventricle being an extremely rare condition. It is frequently mistaken for pulmonary thromboembolism. We report a case of 64-year-old woman with progressive dyspnea initially suspected and treated for pulmonary thromboembolism. Her helical chest CT scan with 3 dimensional (313) reconstruction combined with echocardiography revealed a compacting main pulmonary artery mass extending to the right ventricular outflow tract and the right pulmonary artery. After excision of the mass, the patient's condition improved dramatically, and the pathologic findings revealed pulmonary intimal sarcoma. This report emphasizes that helical chest CT with 3D reconstruction can be an important tool to differentiate the characteristics of pulmonary artery lesions, such as intimal sarcoma and thromboembolism.

引用

页码：547 / 551

页数：5

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