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Article in Japanese
Abstract
Case Report
A case of pulmonary emphysema accompanied by remarkable pulmonary arterial hypertension
Masaki Nishimuraa Etsuro Yamaguchia Hiroyuki Tanakaa Norihito Yokoea Eisuke Katsudab Tsuneo Ishiguchib
aDivision of Respiratory Medicine and Allergology, Department of Internal Medicine, Aichi Medical University School of Medicine
bDepartment of Radiology, Aichi Medical University School of Medicine
ABSTRACT
Slight pulmonary emphysema and localized interstitial pneumonia were observed on chest CT scans. The respiratory function test revealed only decreased DLco. The cardiac catheterization revealed advanced pulmonary hypertension (PH) with pulmonary arterial pressure being 77/35 (mean: 51) mmHg. Because pulmonary thromboembolism, collagen vascular diseases, and pulmonary arterial hypertension caused by other diseases were excluded, we thought that this case had out-of-proportion PH associated with mild emphysema. The pulmonary arterial pressure estimated by a previous report, which uses the cross-sectional area of the small pulmonary vessels on a CT scan, approximated a measured value, thus suggesting the predictability of PH in emphysema from CT images.
KEYWORDS
Received 4 Jul 2013 ／ Accepted 9 Jan 2014
AJRS, 3(3): 395-400, 2014
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