125H ASD post Repair Pulmonary Hypertension

Frontal CXR – ASD s/p Repair Pulmonary Hypertension

Frontal CXR – ASD s/p Repair Pulmonary Hypertension
60-year-old female presents with dyspnea CXR shows a significantly enlarged main pulmonary artery and an enlarged right atrium.
Ashley Davidoff MD TheCommonVein.net 125H 136207

Frontal CXR – ASD s/p Repair Pulmonary Hypertension

CT – ASD s/p Repair Pulmonary Hypertension
60-year-old female presents with dyspnea. CT in the axial plane at the level of the main pulmonary artery shows a significantly enlarged main pulmonary artery which measures 5.7cms and an enlarged left pulmonary artery of the lungs
Ashley Davidoff MD TheCommonVein.net 125H 136208

CT – ASD s/p Repair
Pulmonary Hypertension
Atherosclerotic Calcification of the Pulmonary Arteries

CT – ASD s/p Repair Pulmonary Hypertension Atherosclerotic Calcification of the Pulmonary Arteries
60-year-old female presents with dyspnea. CT in the axial plane at the level of the right pulmonary artery showing a significantly enlarged right pulmonary artery with atherosclerotic calcification in the wall of both the right and the left pulmonary arteries of the lung (b, ringed in white)
Ashley Davidoff MD TheCommonVein.net 125H 136209cL
CT – ASD s/p Repair Pulmonary Hypertension Atherosclerotic Calcification of the Pulmonary Arteries
60-year-old female presents with dyspnea. CT in the axial plane at the level of the right pulmonary artery showing a significantly enlarged right pulmonary artery with atherosclerotic calcification in the wall of both the right and the left pulmonary arteries of the lung (b, ringed in white)
Ashley Davidoff MD TheCommonVein.net 125H 136210cL
CT – ASD s/p Repair Pulmonary Hypertension Atherosclerotic Calcification of the Pulmonary Arteries
60-year-old female presents with dyspnea. CT in the coronal plane at the level of the carina shows a significantly enlarged right pulmonary artery with atherosclerotic calcification in the wall of both the right main and upper pulmonary arteries of the lung. The main pulmonary artery is also significantly enlarged but the sizes of the arteries rapidly attenuate indicating pruning of the vessels
Ashley Davidoff MD TheCommonVein.net 125H 1362215

CT – ASD s/p Repair
Pulmonary Hypertension
Enlarged Right Atrium

CT – ASD s/p Repair Pulmonary Hypertension Enlarged Right Atrium
60-year-old female presents with dyspnea. CT in the coronal plane at the level of the right atrium shows a significantly enlarged main pulmonary artery and right atrium.
Ashley Davidoff MD TheCommonVein.net 125H 1362216

CT – ASD s/p Repair Pulmonary Hypertension CardioMEM Device

CT – ASD s/p Repair Pulmonary Hypertension CardioMEM Device
60-year-old female presents with dyspnea. CT in the axial plane at the level of the heart shows an enlarged right atrium and right ventricle shift of the atrial septum from right to left, and flattening of the interventricular septum indicating significantly elevated right sided pressures.
A high density foreign body is noted in the descending left pulmonary artery and represents CardioMEM that monitors pulmonary artery pressure and enables caregivers to proactively manage heart failure
Ashley Davidoff MD TheCommonVein.net 125H 136212

CT – ASD s/p Repair Pulmonary Hypertension

CardioMEM Device

CT – ASD s/p Repair Pulmonary Hypertension CardioMEM Device
60-year-old female presents with dyspnea. CT in the axial plane at the level of the heart shows an enlarged right atrium and right ventricle shift of the atrial septum from right to left, and flattening of the interventricular septum indicating significantly elevated right sided pressures.
A high density foreign body is noted in the descending left pulmonary artery and represents CardioMEM device (b, red arrowhead) that monitors pulmonary artery pressure and enables caregivers to proactively manage heart failure
Ashley Davidoff MD TheCommonVein.net 125H 136212
CT – ASD s/p Repair Pulmonary Hypertension CardioMEM Device in Place
60-year-old female presents with a dyspnea. CT in the coronal plane at the level of the spine metallic component of the cardioMEM device is noted in the medial segmental left pulmonary artery. The pruning of the pulmonary arteries are again noted
Ashley Davidoff MD TheCommonVein.net 125H 1362217
CT – ASD s/p Repair Pulmonary Hypertension CardioMEM Device in Place
60-year-old female presents with a dyspnea. CT in the coronal plane at the level of the spine The outline of the cardioMEM device (b, red ring) in the medial segmental left pulmonary artery with its distal nitinol stabilizing wire abutting a branch point of the artery . A calcified atherosclerotic plaque lies in the wall of the origin of the LPA from the main pulmonary artery (b red arrow). Image c shows the ex vivo appearance of the device. The pruning of the pulmonary arteries are again noted
Ashley Davidoff MD TheCommonVein.net 125H 1362216

CT – ASD s/p Repair
Pulmonary Hypertension
Mosaic Attenuation

CT – ASD s/p Repair Pulmonary Hypertension Mosaic Attenuation
60-year-old female presents with dyspnea. CT in the axial plane shows a focal region of mosaic attenuation in the posterior aspect of the left upper lobe of the lung, (b red ring), likely secondary to the pulmonary hypertension.
Ashley Davidoff MD TheCommonVein.net 125H 1362213cL