Search
chronic pulmonary embolism
Also see pulmonary embolism.
Etiology:
- hypercoagulable state
Radiology:
- ventilation-perfusion scan (V/Q scan) is positive in > 95% of patient [1,2]
- magnetic resonance (MR) angiography scan is ~75% sensitive because the emboli are usually distal
- computed tomographic angiography is even less sensitive (~57%)
Complications:
- pulmonary hypertension
Differential diagnosis:
- chronic thromboembolic pulmonary hypertension
Management:
- anticoagulation
- see pulmonary embolism
Related
chronic thromboembolic pulmonary hypertension (CTEPH)
General
pulmonary embolism (PE)
chronic disease
References
- Piazza G, Goldhaber SZ.
Chronic thromboembolic pulmonary hypertension.
N Engl J Med. 2011;364(4):351-360.
PMID: 21524224
- Fedullo P, Kerr KM, Kim NH, Auger WR.
Chronic thromboembolic pulmonary hypertension.
Am J Respir Crit Care Med. 2011;183(12):1605-1613.
PMID: 21330453