Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography
Pulmonary arterial hypertension associated with portal hypertension, known as portopulmonary hypertension (PoPH) is one of the important and serious pulmonary complications in patients with portal hypertension. Although there are a large number of patients with portal hypertension due to mainly live...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323008397 |
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| author | Hidetaka Hayashi, MD Seitaro Oda, MD, PhD Masafumi Kidoh, MD, PhD Miki Anai, MD Kyoko Hirakawa, MD, PhD Seiji Takashio, MD, PhD Eiichiro Yamamoto, MD, PhD Hiroto Takamure, MD Naoya Moriguchi, MD Kenichi Tsujita, MD, PhD Toshinori Hirai, MD, PhD |
| author_facet | Hidetaka Hayashi, MD Seitaro Oda, MD, PhD Masafumi Kidoh, MD, PhD Miki Anai, MD Kyoko Hirakawa, MD, PhD Seiji Takashio, MD, PhD Eiichiro Yamamoto, MD, PhD Hiroto Takamure, MD Naoya Moriguchi, MD Kenichi Tsujita, MD, PhD Toshinori Hirai, MD, PhD |
| author_sort | Hidetaka Hayashi, MD |
| collection | DOAJ |
| description | Pulmonary arterial hypertension associated with portal hypertension, known as portopulmonary hypertension (PoPH) is one of the important and serious pulmonary complications in patients with portal hypertension. Although there are a large number of patients with portal hypertension due to mainly liver cirrhosis, the number of cases diagnosed with PoPH are far fewer because the causes of dyspnea in patients with cirrhosis are diverse and the disease entity of PoPH is poorly recognized by clinicians. We report here the case with PoPH suggested and assessed comprehensively by dual energy computed tomography (CT) including high-resolution pulmonary CT angiography, pulmonary perfusion imaging, myocardial late iodine enhancement imaging, and myocardial extracellular volume analysis. This refined CT imaging protocol can be used in conjunction with standard chest evaluation and offers a practical and useful approach for the noninvasive “one-stop shop” evaluation of PoPH. |
| first_indexed | 2024-03-09T01:29:41Z |
| format | Article |
| id | doaj.art-c091bda637544b8d9266f63b2177f568 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T01:29:41Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c091bda637544b8d9266f63b2177f5682023-12-10T06:14:36ZengElsevierRadiology Case Reports1930-04332024-02-01192671674Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomographyHidetaka Hayashi, MD0Seitaro Oda, MD, PhD1Masafumi Kidoh, MD, PhD2Miki Anai, MD3Kyoko Hirakawa, MD, PhD4Seiji Takashio, MD, PhD5Eiichiro Yamamoto, MD, PhD6Hiroto Takamure, MD7Naoya Moriguchi, MD8Kenichi Tsujita, MD, PhD9Toshinori Hirai, MD, PhD10Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan; Corresponding author.Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanDepartment of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, JapanPulmonary arterial hypertension associated with portal hypertension, known as portopulmonary hypertension (PoPH) is one of the important and serious pulmonary complications in patients with portal hypertension. Although there are a large number of patients with portal hypertension due to mainly liver cirrhosis, the number of cases diagnosed with PoPH are far fewer because the causes of dyspnea in patients with cirrhosis are diverse and the disease entity of PoPH is poorly recognized by clinicians. We report here the case with PoPH suggested and assessed comprehensively by dual energy computed tomography (CT) including high-resolution pulmonary CT angiography, pulmonary perfusion imaging, myocardial late iodine enhancement imaging, and myocardial extracellular volume analysis. This refined CT imaging protocol can be used in conjunction with standard chest evaluation and offers a practical and useful approach for the noninvasive “one-stop shop” evaluation of PoPH.http://www.sciencedirect.com/science/article/pii/S1930043323008397Pulmonary hypertensionPortal hypertensionDual energy computed tomographyPulmonary perfusionExtracellular volume |
| spellingShingle | Hidetaka Hayashi, MD Seitaro Oda, MD, PhD Masafumi Kidoh, MD, PhD Miki Anai, MD Kyoko Hirakawa, MD, PhD Seiji Takashio, MD, PhD Eiichiro Yamamoto, MD, PhD Hiroto Takamure, MD Naoya Moriguchi, MD Kenichi Tsujita, MD, PhD Toshinori Hirai, MD, PhD Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography Radiology Case Reports Pulmonary hypertension Portal hypertension Dual energy computed tomography Pulmonary perfusion Extracellular volume |
| title | Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography |
| title_full | Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography |
| title_fullStr | Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography |
| title_full_unstemmed | Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography |
| title_short | Pulmonary arterial hypertension associated with portal hypertension: Noninvasive comprehensive assessment using computed tomography |
| title_sort | pulmonary arterial hypertension associated with portal hypertension noninvasive comprehensive assessment using computed tomography |
| topic | Pulmonary hypertension Portal hypertension Dual energy computed tomography Pulmonary perfusion Extracellular volume |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323008397 |
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