A rare combination of cardiopulmonary anomalies demonstrated on ventilation-perfusion scan.
In this case report we describe an unusual appearance seen on a ventilation-perfusion (V/Q) scan in a woman with pulmonary hypertension. Although the pulmonary hypertension was not caused by pulmonary emboli, the V/Q scan suggested several cardiac anomalies which may lead to pulmonary hypertension. Most of the cardiac anomalies, including right-sided aortic arch and right-to-left shunt, can be deduced from careful examination of the V/Q scan. A subsequent cardiac MRI scan confirmed the anomalies.
Khan
Sameer
S
Department of Nuclear Medicine, Hammersmith Hospital, London, United Kingdom.
Dunn
Joel
J
Ariff
Ben
B
Juli
Christoph
C
Karunanithy
Narayan
N
Strickland
Nicole
N
Al-Nahhas
Adil
A
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging*; D007727:Krypton Radioisotopes; D008875:Middle Aged; D011859:Radiography; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D035583:Rare Diseases / Q000151:congenital / Q000000981:diagnostic imaging; D015619:Respiratory System Abnormalities / Q000000981:diagnostic imaging*; D013668:Technetium Tc 99m Aggregated Albumin
D007727:Krypton Radioisotopes; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin