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Imaging in Acute and Chronic Pulmonary Thromboembolic Disease

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Abstract

Acute pulmonary embolism (PE) is the third commonest acute cardiovascular disease. Prompt and accurate diagnosis is important. Significant morbidity and mortality are associated with both false-positive and -negative diagnosis. Although chronic thromboembolic disease (CTED) is an uncommon sequelae of acute PE, it is a potentially curable cause of pulmonary arterial hypertension (PAH) by means of pulmonary endarterectomy. Imaging plays an important role in the surgical work-up of patients with CTED. This chapter reviews the latest recommended algorithms in the diagnosis of acute PE and the role of leg sonography, ventilation-perfusion isotope imaging, computed tomography pulmonary angiography, conventional angiography, magnetic resonance angiography, and high-resolution computed tomography in the diagnosis of both acute and chronic pulmonary thromboembolism.

Keywords

Pulmonary Hypertension Right Ventricle Main Pulmonary Artery Acute Pulmonary Embolus Pulmonary Angiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag London 2009

Authors and Affiliations

  1. 1.Department of RadiologyRoyal Free HospitalLondonUK

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