CXR and Pulmonary Artery and Chest X-Ray

CXR and Left Pulmonary Artery

60-year-old man with heart murmur since his teens, but recently became symptomatic with signs of right heart failure characterized ankle edema, ascites and anasarca. Examination confirmed massive ascites and peripheral edema with RV hypertrophy and a coarse ejection systolic murmur in the pulmonic area and absent second heart sound (pulmonic valve closure)
CXR shows aneurysmal dilatation of the left pulmonary artery, decrease pulmonary vasculature, and calcification of the pulmonary valve, pulmonary annulus and tricuspid valve annulus. EKG showed RVH
At catheterization there was a 100 mm Hg gradient across the valve, mean right atrial pressure was 16 mmHg, RV systolic pressure was 120/24 mmHg and PA pressure 25/12 mmHg. Femoral artery O2 sat was 87.5%

CONGENITAL PULMONARY STENOSIS WITH ANEURYSMAL LPA, PV AND TRICUSPID ANNULUS CALCIFICATION
CXR shows aneurysmal dilatation of the left pulmonary artery, decrease pulmonary vasculature, and calcification of the pulmonary valve, pulmonary annulus and tricuspid valve annulus. EKG showed RVH

Ashley Davidoff MD

CONGENITAL PULMONARY STENOSIS WITH ANEURYSMAL LPA, PV AND TRICUSPID ANNULUS CALCIFICATION

Ashley Davidoff MD

ANEURYSMAL LPA, PV AND TRICUSPID ANNULUS CALCIFICATION
RAO view of the heart shows a nodular and calcified  pulmonary valve (yellow) surrounded by a calcified pulmonary annulus (green), associated with a calcified tricuspid annulus (teal), and aneurysm of the LPA (blue)
60-year-old man with heart murmur since his teens, but recently became symptomatic with signs of right heart failure characterized ankle edema, ascites and anasarca. Examination confirmed massive ascites and peripheral edema with RV hypertrophy and a coarse ejection systolic murmur in the pulmonic area and absent second heart sound (pulmonic valve closure)
CXR shows aneurysmal dilatation of the left pulmonary artery, decrease pulmonary vasculature, and calcification of the pulmonary valve, pulmonary annulus and tricuspid valve annulus. EKG showed RVH

Ashley Davidoff MD

 

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