Pulmonary artery asymmetric enlargement is not always secondary to pulmonary hypertension

El aumento asimétrico del diámetro de la arteria pulmonar no siempre es secundario a hipertensión arterial pulmonar

Published 2017-08-01

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Vol. 29 No. 1 (2017)
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Radiological clinical case
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Pulmonary artery asymmetric enlargement is not always secondary to pulmonary hypertension. rev. colomb. neumol. [Internet]. 2017 Aug. 1 [cited 2024 Nov. 16];29(1):63-7. Available from: https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/240
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https://doi.org/10.30789/rcneumologia.v29.n1.2017.240
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Carlos García
Fundación Valle de Lili. Facultad de Ciencias de la Salud, Universidad Icesi. Cali
    Luisa Martínez
    Fundación Valle del Lili. Facultad de Ciencias de la Salud, Universidad Icesi. Cali
      Camila Ospina
      Fundación Valle del Lili. Cali
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        Carlos García,

        Especialista en Radiología e Imágenes Diagnósticas, Fundación Valle de Lili. Facultad de Ciencias de la Salud, Universidad Icesi. Cali, Colombia.

        Luisa Martínez,

        Médica Interna, Fundación Valle del Lili. Facultad de Ciencias de la Salud, Universidad Icesi. Cali, Colombia.

        Camila Ospina,

        Médica Rural, Fundación Valle del Lili. Cali, Colombia.
        Pulmonary hypertension refers to a group of disorders of variable etiology in which there is elevation of pressure in the pulmonary artery, a fact that increases the diameter of this vessel. We present the case of a 27-year-old man, diagnosed with HIV infection, in whom increased caliber of the pulmonary artery and its left branch was documented by CT-scan. HIV-associated pulmonary arterial hypertension was first considered, but echocardiograms did not give evidence of any alteration. It was then decided to perform a functional cardiac magnetic resonance, which showed pulmonary hypertension secondary to supravalvular stenosis, thus explaining the asymmetry of the branches of the pulmonary artery. This finding justifies the importance of considering clinical aspects together with radiologic and echocardiographic studies in order to justify alternative image studies.


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        1. Correale M, Palmiotti GA, Lo Storto MM, Montrone D, Foschino Barbaro MP, Di Biase M, et al. HIV-associated pulmonary arterial hypertension: from bedside to the future. Eur J Clin Invest. 2015;45(5):515-28.
        2. Mirrakhimov AE, Ali AM, Barbaryan A, Prueksaritanond S. Human immunodeficiency virus and pulmonary arterial hypertension. ISRN Cardiol. 2013;2013:903454.
        3. Dai HL, Zhang M, Xiao ZC, Guang XF, Yin XL. Pulmonary arterial hypertension in HIV infection: a concise review. Heart Lung Circ. 2014;23(4):299-302.
        4. Triplette M, Crothers K, Attia EF. Non-infectious pulmonary diseases and HIV. Curr HIV/AIDS Rep. 2016;13(3):140-8.
        5. Henriques-Forsythe M, Annangi S, Farber HW. Prevalence and hospital discharge status of human immunodeficiency virus-associated pulmonary arterial hypertension in the United States. Pulm Circ. 2015;5(3):506-12.
        6. Tcherakian C, Couderc LJ, Humbert M, Godot V, Sitbon O,Devillier P. Inflammatory mechanisms in HIV-associated pulmonary arterial hypertension. Semin Respir Crit Care Med. 2013;34(5):645-53.
        7. Bigna JJ, Sime PS, Koulla-Shiro S. HIV related pulmonary arterial hypertension: epidemiology in Africa, physiopathology, and role of antiretroviral treatment. AIDS Res Ther.2015;12:36.
        8. Feijoo MQ, Toro R, López Vazquez de la Torre M, Lennie V, Arce C, Moreno V, et al. Relationship between endothelin-1 levels and pulmonary arterial hypertension in HIV-infected patients. AIDS. 2014;28(18):2693-9.
        9. Thao C, Shorr AF, Woods C. Non-infectious pulmonary disorders in HIV. Expert Rev Respir Med. 2017:1-12.
        10. Saremi F, Gera A, Ho SY, Hijazi ZM, Sánchez-Quintana D.CT and MR imaging of the pulmonary valve. Radiographics.2014;34(1):51-71.
        11. Varaprasathan GA, Araoz PA, Higgins CB, Reddy GP. Quantification of flow dynamics in congenital heart disease: applications of velocity-encoded cine MR imaging. Radiographics. 2002;22(4):895-905; discussion -6.
        12. Junqueira FP, Lima CM, Coutinho AC, Parente DB, Bittencourt LK, Bessa LG, et al. Pulmonary arterial hypertension: an imaging review comparing MR pulmonary angiography and perfusion with multidetector CT angiography. Br J Radiol. 2012;85(1019):1446-56.
        13. Bradlow WM, Gibbs JS, Mohiaddin RH. Cardiovascular magnetic resonance in pulmonary hypertension. J Cardiovasc Magn Reson. 2012;14:6.
        14. Schwarze-Zander C, Pabst S, Hammerstingl C, Ohlig J, Wasmuth JC, Boesecke C, et al. Pulmonary hypertension in HIV infection: a prospective echocardiographic study. HIV Med. 2015;16(9):578-82.
        15. Pristera N, Musarra R, Schilz R, Hoit BD. The Role of Echocardiography in the Evaluation of Pulmonary Arterial Hypertension. Echocardiography. 2016;33(1):105-16.
        16. François CJ, Schiebler ML. Imaging of Pulmonary Hypertension. Radiol Clin North Am. 2016;54(6):1133-49.
        17. Lungu A, Swift AJ, Capener D, Kiely D, Hose R, Wild JM. Diagnosis of pulmonary hypertension from magnetic resonance imaging-based computational models and decision tree analysis. Pulm Circ. 2016;6(2):181-90.
        18. Pektas A, Olgunturk R, Cevik A, Terlemez S, Kacar E, Oner YA. Magnetic resonance imaging in pediatric pulmonary hypertension. Tex Heart Inst J. 2015;42(3):209-15.
        19. FA B. Differential diagnosis in conventional Radiology. Publication NyTm, editor 1991.
        20. Reed JC. Chest radiology, patterns and differential diagnoses.Year Book Medical Publishers; 1981.

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