Idiopathic pulmonary fibrosis complicated by acute thromboembolic disease: Chest X-ray, HRCT and multi-detector row CT angiographic findings
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Idiopathic pulmonary fibrosis complicated by acute thromboembolic disease: Chest X-ray, HRCT and multi-detector row CT angiographic findings (365 views) (PDF public 17 views)

Camera L, Campanile F, Imbriaco M, Ippolito R, Sirignano C, Santoro C, Galderisi M, Salvatore M

J Thorac Dis (ISSN: 2072-1439), 2013 Feb; 5(1): 82-86.

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Paper type: Journal Article,

Impact factor: 0.895, 5-year impact factor: 1.273

Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84876699154&partnerID=40&md5=363f30d8c47954d8ded98588c62181e1

Keywords: High Resolution Computed Tomography, Idiopathic Pulmonary Fibrosis, Multidetector Row Ct Angiography, Pulmonary Thrombo-Embolism, D Dimer, Enoxaparin, Acute Disease, Aged, Case Report, Computed Tomographic Angiography, Congestive Heart Failure, Contrast Enhancement, Dyspnea, Echocardiography, Female, Fibrosing Alveolitis, Heart Right Ventricle Failure, High Resolution Computer Tomography, Human, Lung Embolism, Lung Parenchyma, Mitral Valve Regurgitation, Multidetector Computed Tomography, Pulmonary Hypertension, Thorax Radiography, Tricuspid Valve Regurgitation,

Affiliations:
*** IBB - CNR ***

Department of Radiology, University Federico II, Naples, Italy
Institute of Biostructures and Bioimaging (C.N.R.), University Federico II, Naples, Italy
Department of Clinical and Experimental Medicine, University Federico II, Naples, Italy


References:
Not available.
Idiopathic pulmonary fibrosis complicated by acute thromboembolic disease: Chest X-ray, HRCT and multi-detector row CT angiographic findings

Idiopathic pulmonary fibrosis (IPF) is a chronic diffuse interstitial disease characterized by a predominant reticular pattern of involvement of the lung parenchyma which can be well documented by High Resolution Computed Tomography (HRCT). While almost half of the patients with IPF may develop pulmonary arterial hypertension, the occurrence of superimposed acute thrombo-embolic disease is rare. We describe a case of an 87 yrs old female who was found to have IPF complicated by acute pulmonary thrombo-embolism during the clinical and radiological investigation of a rapidly worsening dyspnea. While chest x-ray findings were initially considered consistent with a congestive heart failure, a bed side echocardiography revealed findings suggestive of pulmonary arterial hypertension and right ventricular failure with enlargement of both right cavities and associated valvular regurgitations. An acute thrombo-embolic disease was initially ruled out by a perfusion lung scintigraphy and subsequently confirmed by contrast-enhanced multi-detector CT which showed an embolus at the emergency of the right inter-lobar artery with associated signs of chronic pulmonary hypertension. However, unenhanced scans performed with both conventional and high resolution techniques also depicted a reticular pattern of involvement of lung parenchyma considered suggestive of IPF despite a atypical upper lobe predominance. IPF was later confirmed by further clinical, serological and instrumental follow-up. © Pioneer Bioscience Publishing Company.
Idiopathic pulmonary fibrosis complicated by acute thromboembolic disease: Chest X-ray, HRCT and multi-detector row CT angiographic findings

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Idiopathic pulmonary fibrosis complicated by acute thromboembolic disease: Chest X-ray, HRCT and multi-detector row CT angiographic findings

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Romano  M, Mainenti PP, Imbriaco M, Amato B, Markabaoui K, Tamburrini O, Salvatore M
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3 Records (3 excluding Abstracts).
Total impact factor: 6.901 (6.901 excluding Abstracts).
Total 5 year impact factor: 6.623 (6.623 excluding Abstracts).

Last modified by Marco Comerci on Sunday 12 July 2020, 13:14:55
365 views. Last view on Saturday 07 September 2024, 10:00:59