Features of cardiac disease demonstrated on CT pulmonary angiography.

Abstract:

:The heart and mediastinal structures can be overlooked at CT pulmonary angiogram (CTPA). This pictorial review will demonstrate the features of cardiac disease that may be evident on a CTPA. CTPA allows assessment of not only the pulmonary arteries for embolism, but also of the bronchi, lung parenchyma, mediastinum and heart. Co-existent underlying or incidental cardiac disease is often present. Potentially life-threatening alternative diagnoses in a patient with chest symptoms can be reliably identified. Pathologies of the myocardium including hypertrophic cardio myopathy, pericardial disease, valvular disease, coronary artery disease, and intracardiac abnormalities are demonstrated pictorially. CTPA is increasingly used for the detection of pulmonary embolism. Most patients investigated have pathology other than PE as a cause of their symptoms. Frequently information about the heart is produced that provides important clues to determine the cause for the presenting symptoms and signs or reveals co-existing pathology. It is important to have a clear understanding of the features of cardiac disease which may be seen on a CTPA.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

McKie SJ,Hardwick DJ,Reid JH,Murchison JT

doi

10.1016/j.crad.2004.07.005

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

31-8

issue

1

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(04)00262-4

journal_volume

60

pub_type

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