lung perfusion spect: application in a patient with tetralogy of fallot and suspected pulmonary thromboemboli
نویسندگان
چکیده
a 22-year-old woman presented with acute left-sided pleuritic chest pain and dyspnea 6 days after surgery for revision of the stenotic central aortopulmonary shunt. she had a history of tetralogy of fallot (tof), pulmonary valve stenosis, ventricular septal defect and major aortopulmonary collateral artery. her waterston shunt was placed when she was 5 years old and stented and re-dilated after stenosis. acute pulmonary thromboemboli (pte) was suspected and pulmonary perfusion scan was performed with 4 mci 99m technetium labeled macroaggregated albumin. the left lung was globally hypoperfused with evident uptake in the brain, renal parenchyma and thyroid. spect images revealed a segmental wedge-shaped peripheral defect in the posterior segment of the left upper lobe. the scan was interpreted as acute/chronic pte or vascular abnormality. ct angiography excluded pte; nevertheless the patient was treated with a therapeutic dose of heparin changed to warfarin and was discharged with improvement of the symptoms. pulmonary artery angiography was not performed.
منابع مشابه
Lung Perfusion SPECT: Application in a Patient With Tetralogy of Fallot and Suspected Pulmonary Thromboemboli
A 22-year-old woman presented with acute left-sided pleuritic chest pain and dyspnea 6 days after surgery for revision of the stenotic central aortopulmonary shunt. She had a history of tetralogy of Fallot (TOF), pulmonary valve stenosis, ventricular septal defect and major aortopulmonary collateral artery. Her Waterston shunt was placed when she was 5 years old and stented and re-dilated after...
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عنوان ژورنال:
iranian journal of radiologyجلد ۱۲، شماره ۲، صفحات ۰-۰
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