COMPUTED-TOMOGRAPHY MANIFESTATIONS OF TRICUSPID REGURGITATION

被引:24
作者
COLLINS, MA
PIDGEON, JW
FITZGERALD, R
机构
[1] NEW CROSS HOSP,DEPT RADIOL,WOLVERHAMPTON WV10 0QP,W MIDLANDS,ENGLAND
[2] NEW CROSS HOSP,DEPT CARDIOL,WOLVERHAMPTON WV10 0QP,W MIDLANDS,ENGLAND
关键词
D O I
10.1259/0007-1285-68-814-1058
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Six patients undergoing dynamic contrast enhanced abdominal computed tomography (CT) for upper abdominal symptoms and signs are described. Each patient demonstrated early, intense opacification of the inferior vena cava (IVC) and hepatic veins, exceeding that in the aorta on scans through the upper abdomen. Opacification of the IVC returned to normal on more caudal slices. All six patients were found to have echocardiographically proven tricuspid regurgitation (TR). It is suggested that this sign occurs in patients with TR due to direct reflux of contrast from the right atrium into the IVC during protracted bolus injection. Additional CT findings included patchy parenchymal liver enhancement in four patients and ascites in five. Recognition of this simple sign may direct the clinician to a cardiac aetiology for upper abdominal symptoms and signs.
引用
收藏
页码:1058 / 1060
页数:3
相关论文
共 11 条
[1]  
ABUYOUSEF MM, 1990, AJR, V156, P79
[2]   CONTRAST ENHANCEMENT IN ABDOMINAL CT - BOLUS VS INFUSION [J].
BURGENER, FA ;
HAMLIN, DJ .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1981, 137 (02) :351-358
[3]  
GIBSON DG, 1987, OXFORD TXB MED, P300
[4]   INHOMOGENEOUS ENHANCEMENT OF LIVER PARENCHYMA SECONDARY TO PASSIVE CONGESTION - CONTRAST-ENHANCED CT [J].
HOLLEY, HC ;
KOSLIN, DB ;
BERLAND, LL ;
STANLEY, RJ .
RADIOLOGY, 1989, 170 (03) :795-800
[5]  
MELTZER RS, 1980, CIRCULATION, V63, P1093
[6]   PASSIVE HEPATIC CONGESTION IN HEART-FAILURE - CT ABNORMALITIES [J].
MOULTON, JS ;
MILLER, BL ;
DODD, GD ;
VU, DN .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 151 (05) :939-942
[7]   ASSESSMENT OF TRICUSPID REGURGITATION BY PULSED DOPPLER ULTRASONOGRAPHY OF THE HEPATIC VEINS [J].
PENNESTRI, F ;
LOPERFIDO, F ;
SALVATORI, MP ;
MONGIARDO, R ;
FERRAZZA, A ;
GUCCIONE, P ;
MANZOLI, U .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 54 (03) :363-368
[8]   EVALUATION OF TRICUSPID REGURGITATION BY BLOOD-FLOW PATTERN IN THE HEPATIC VEIN USING PULSED DOPPLER TECHNIQUE [J].
SAKAI, K ;
NAKAMURA, K ;
SATOMI, G ;
KONDO, M ;
HIROSAWA, K .
AMERICAN HEART JOURNAL, 1984, 108 (03) :516-523
[9]  
SCHIFF L, 1982, DISEASES LIVER, P867
[10]   DIAGNOSIS OF TRICUSPID REGURGITATION - SENSITIVITY OF DOPPLER ULTRASOUND COMPARED WITH CONTRAST ECHOCARDIOGRAPHY [J].
SKJAERPE, T ;
HATLE, L .
EUROPEAN HEART JOURNAL, 1985, 6 (05) :429-436