PVOD suggested by MDCT and clinical findings in a pregnant woman.
Pulmonary hypertension secondary to pulmonary venoocclusive disease (PVOD) is increasingly recognized (Wagenvoort, Chest 69:82-86, [20]; Scully et al., N Engl J Med 308:823-834, [21]). The clinical presentation is usually progressive pulmonary hypertension. It should be kept in mind when there is pulmonary arterial hypertension, pulmonary edema, and a normal pulmonary artery wedge pressure. Importance of diagnosing this condition is to protect patient from fatal pulmonary edema when using prostacyclins that are effective for treatment of primary pulmonary hypertension. Herein, we present multidetector computed tomography findings of PVOD in a pregnant woman that presented with pulmonary hypertension.
Akpinar
Erhan
E
Department of Radiology, Hacettepe University School of Medicine, Sihhiye, 06100 Ankara, Turkey.
Akpinar
Burcu
B
Turkbey
Baris
B
Deren
Ozgur
O
Ariyurek
Macit
M
D000293:Adolescent; D003287:Contrast Media; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging* / Q000209:etiology*; D007479:Iopamidol / Q000031:analogs & derivatives; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging*; D011256:Pregnancy Outcome; D011668:Pulmonary Veno-Occlusive Disease / Q000150:complications* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; C057937:iomeprol; D007479:Iopamidol
Chest. 1998 Jan;113(1):237-40
9440597
Am J Respir Crit Care Med. 2000 Nov;162(5):1964-73
11069841
AJR Am J Roentgenol. 1996 Oct;167(4):937-40
8819387
AJR Am J Roentgenol. 1993 Apr;160(4):759-60
8456659
Am Heart J. 1992 Dec;124(6):1643-4
1462933
Chest. 2000 Dec;118(6):1671-9
11115457
Obstet Gynecol. 2003 Mar;101(3):511-5
12636955
Can Med Assoc J. 1979 Jun 23;120(12 ):1519-22
455208
Mayo Clin Proc. 1978 May;53(5):321-6
347185
Lancet. 1966 Jul 9;2(7454):61-5
4161019
AJR Am J Roentgenol. 2004 Jul;183(1):65-70
15208112
Circulation. 1989 Nov;80(5):1198-206
2805258
Virchows Arch A Pathol Anat Histol. 1974;364(1):69-79
4217029
AJR Am J Roentgenol. 1998 Nov;171(5):1321-4
9798872
Obstet Gynecol. 1984 Aug;64(2):281-4
6738961
Hum Pathol. 1985 Oct;16(10):1033-41
4043952
N Engl J Med. 1983 Apr 7;308(14):823-34
6835274
Chest. 1976 Jan;69(1):82-6
1244294
Radiology. 2002 Mar;222(3):782-8
11867801