Baffle thrombosis in an adult with remote prior scimitar vein repair mimicking massive pulmonary embolism

Shulman, Ryan M. and Ayres, Jonny (2014) Baffle thrombosis in an adult with remote prior scimitar vein repair mimicking massive pulmonary embolism. Clinical Imaging, 38 4: 518-521. doi:10.1016/j.clinimag.2014.03.007

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Author Shulman, Ryan M.
Ayres, Jonny
Title Baffle thrombosis in an adult with remote prior scimitar vein repair mimicking massive pulmonary embolism
Journal name Clinical Imaging   Check publisher's open access policy
ISSN 1873-4499
0899-7071
Publication date 2014-07
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.clinimag.2014.03.007
Open Access Status File (Author Post-print)
Volume 38
Issue 4
Start page 518
End page 521
Total pages 4
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Collection year 2015
Language eng
Abstract A 58-year-old man with a history of Scimitar syndrome diagnosed and surgically repaired in early adulthood presented multiple times to the emergency department complaining dyspnea, chest pain, and hemoptysis. Asymmetric pulmonary arterial flow rates between left and right lungs resulted in an apparent filling defect on computed tomographic pulmonary arteriography, which was repeatedly misdiagnosed clinically and radiologically as a massive pulmonary embolus. This case highlights the importance of understanding the pathophysiology and post-surgical complications of repaired congenital cardiovascular disease. Delayed phase acquisitions are often necessary to characterize the physiology of repaired congenital cardiovascular disease with associated shunts.
Keyword Pulmonary embolus
Artifact
Computed tomography pulmonary angiography
Scimitar syndrome
Baffle thrombosis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
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