lung perfusion spect: application in a patient with tetralogy of fallot and suspected pulmonary thromboemboli

نویسندگان

mina ranji amjad research institute for nuclear medicine, shariati hospital, tehran university of medical sciences, tehran, iran

mehrshad abbasi department of nuclear medicine, vali-asr hospital, tehran university of medical sciences, tehran, iran

saeed farzanehfar department of nuclear medicine, vali-asr hospital, tehran university of medical sciences, tehran, iran; department of nuclear medicine, vali-asr hospital, tehran university of medical sciences, p. o. box: 14197-33141, tehran, iran. tel: +98-2161192400, fax: +98-2166581529

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.

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عنوان ژورنال:
iranian journal of radiology

جلد ۱۲، شماره ۲، صفحات ۰-۰

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