A Case of Pulmonary Artery Intimal Sarcoma Diagnosed with Multislice CT Scan with 3D Reconstruction.
10.3349/ymj.2004.45.3.547
- Author:
Eui Young CHOI
1
;
Young Won YOON
;
Hyuck Moon KWON
;
Dongsoo KIM
;
Byung Eun PARK
;
Yoo Sun HONG
;
Ja Seung KOO
;
Tae Hoon KIM
;
Hyun Seung KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. drcliff@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Pulmonary artery intimal sarcoma;
helical CT with 3D reconstruction;
echocardiography
- MeSH:
Diagnosis, Differential;
Echocardiography;
Female;
Human;
Imaging, Three-Dimensional;
Middle Aged;
Pulmonary Artery/pathology/*radiography;
Sarcoma/pathology/*radiography/ultrasonography;
Tomography, X-Ray Computed/*methods;
Tunica Intima/pathology/radiography;
Vascular Neoplasms/pathology/*radiography/ultrasonography
- From:Yonsei Medical Journal
2004;45(3):547-551
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary artery intimal sarcoma is a rare highly lethal disease, with additional retrograde extension to pulmonic valve and right ventricle being an extremely rare condition. It is frequently mistaken for pulmonary thromboembolism. We report a case of 64-year-old woman with progressive dyspnea initially suspected and treated for pulmonary thromboembolism. Her helical chest CT scan with 3 dimensional (3D) reconstruction combined with echocardiography revealed a compacting main pulmonary artery mass extending to the right ventricular outflow tract and the right pulmonary artery. After excision of the mass, the patient's condition improved dramatically, and the pathologic findings revealed pulmonary intimal sarcoma. This report emphasizes that helical chest CT with 3D reconstruction can be an important tool to differentiate the characteristics of pulmonary artery lesions, such as intimal sarcoma and thromboembolism.
