Bilateral Pulmonary Artery Aneurysms in a Patient With Behcet Syndrome: Evaluation With Radionuclide Angiography and V/Q Lung Scanning
The case of a 14-year-old girl with Behcet syndrome is described. Besides painful and recurrent oral ulcerations, the patient had a cough and intermittent hemoptysis. The initial chest roentgenogram revealed bilateral parahilar opacities. CT and MRI scans of the thorax showed bilateral thrombosing a...
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| Veröffentlicht in: | Clinical nuclear medicine 1998-11, Vol.23 (11), p.735-738 |
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| creator | BASOGLU, TARIK CANBAZ, FEVZIYE BERNAY, IREM DANACI, MURAT |
| description | The case of a 14-year-old girl with Behcet syndrome is described. Besides painful and recurrent oral ulcerations, the patient had a cough and intermittent hemoptysis. The initial chest roentgenogram revealed bilateral parahilar opacities. CT and MRI scans of the thorax showed bilateral thrombosing aneurysms of the pulmonary arteries. Pulmonary blood flow imaging was performed after technegas ventilation lung scanning and Tc-99m MAA injection using a first-pass radionuclide angiography procedure. Altered blood flow in the left pulmonary artery was shown. Bilateral and well-defined ventilation/perfusion mismatched areas suggested a high probability of pulmonary embolism. Little additional information was obtained on subsequent contrast pulmonary angiography. The high incidence of pulmonary artery hypertension and associated vascular injury risk makes pulmonary angiography an unsafe procedure in patients with pulmonary Behcet syndrome. The need for pulmonary angiography could be obviated in such cases with the use of high-precision MRI and ventilation/perfusion lung scanning, including radionuclide pulmonary angiography. |
| doi_str_mv | 10.1097/00003072-199811000-00002 |
| format | Article |
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Besides painful and recurrent oral ulcerations, the patient had a cough and intermittent hemoptysis. The initial chest roentgenogram revealed bilateral parahilar opacities. CT and MRI scans of the thorax showed bilateral thrombosing aneurysms of the pulmonary arteries. Pulmonary blood flow imaging was performed after technegas ventilation lung scanning and Tc-99m MAA injection using a first-pass radionuclide angiography procedure. Altered blood flow in the left pulmonary artery was shown. Bilateral and well-defined ventilation/perfusion mismatched areas suggested a high probability of pulmonary embolism. Little additional information was obtained on subsequent contrast pulmonary angiography. The high incidence of pulmonary artery hypertension and associated vascular injury risk makes pulmonary angiography an unsafe procedure in patients with pulmonary Behcet syndrome. The need for pulmonary angiography could be obviated in such cases with the use of high-precision MRI and ventilation/perfusion lung scanning, including radionuclide pulmonary angiography.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-199811000-00002</identifier><identifier>PMID: 9814558</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Aneurysm - complications ; Aneurysm - diagnostic imaging ; Behcet Syndrome - complications ; Biological and medical sciences ; Cardiovascular system ; Female ; Graphite ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lung - diagnostic imaging ; Medical sciences ; Pulmonary Artery - diagnostic imaging ; Pulmonary Circulation - physiology ; Radionuclide Angiography ; Radionuclide investigations ; Radiopharmaceuticals ; Sarcoidosis. 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Besides painful and recurrent oral ulcerations, the patient had a cough and intermittent hemoptysis. The initial chest roentgenogram revealed bilateral parahilar opacities. CT and MRI scans of the thorax showed bilateral thrombosing aneurysms of the pulmonary arteries. Pulmonary blood flow imaging was performed after technegas ventilation lung scanning and Tc-99m MAA injection using a first-pass radionuclide angiography procedure. Altered blood flow in the left pulmonary artery was shown. Bilateral and well-defined ventilation/perfusion mismatched areas suggested a high probability of pulmonary embolism. Little additional information was obtained on subsequent contrast pulmonary angiography. The high incidence of pulmonary artery hypertension and associated vascular injury risk makes pulmonary angiography an unsafe procedure in patients with pulmonary Behcet syndrome. The need for pulmonary angiography could be obviated in such cases with the use of high-precision MRI and ventilation/perfusion lung scanning, including radionuclide pulmonary angiography.</description><subject>Adolescent</subject><subject>Aneurysm - complications</subject><subject>Aneurysm - diagnostic imaging</subject><subject>Behcet Syndrome - complications</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Female</subject><subject>Graphite</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Circulation - physiology</subject><subject>Radionuclide Angiography</subject><subject>Radionuclide investigations</subject><subject>Radiopharmaceuticals</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Sodium Pertechnetate Tc 99m</subject><subject>Technetium Tc 99m Aggregated Albumin</subject><subject>Ventilation-Perfusion Ratio - physiology</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kd9uFCEUxonR1G31EUy4MN5NCwMzA961Tf2TbGK1jV6SMwzsoAyzwmCzL-BzS9117-TmwHd-55B8H0KYknNKZHdBymGkqysqpaC0vKpHqX6CVrRhbUXqWj5FK8JaVsmurZ-j05S-E0Jb2vITdFKGeNOIFfp95TwsJoLHt9lPc4C4w5exKKUEk-MuTQm7gAHfwuJMWPA3t4z4yozaLPhuF4Y4T-YtvvkFPhdiDnvgCwzlnrV3gymbNm7eRNiOOwxhwF8vPuN1Dht8pyEEFzYv0DMLPpmXh3qG7t_d3F9_qNaf3n-8vlxXmgleV9ZwTplspJG6sUPXC0b63gpb3IBOMssF07InwKg1tBV1cafpi8zpwFvKztCb_dptnH9mkxY1uaSN9xDMnJPqCOGtEF0BxR7UcU4pGqu20U3FG0WJekxA_UtAHRP4K9Vl9NXhj9xPZjgOHiwv_deHPiQN3kYI2qUjVnNOGskKxvfYw-xLGumHzw8mqtGAX0b1v_zZH9qzneI</recordid><startdate>199811</startdate><enddate>199811</enddate><creator>BASOGLU, TARIK</creator><creator>CANBAZ, FEVZIYE</creator><creator>BERNAY, IREM</creator><creator>DANACI, MURAT</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199811</creationdate><title>Bilateral Pulmonary Artery Aneurysms in a Patient With Behcet Syndrome: Evaluation With Radionuclide Angiography and V/Q Lung Scanning</title><author>BASOGLU, TARIK ; CANBAZ, FEVZIYE ; BERNAY, IREM ; DANACI, MURAT</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3842-fe4413959e9c5fd7b830bbf8f003a793f483c9b0a31fe16829985b3f441d4613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Aneurysm - complications</topic><topic>Aneurysm - diagnostic imaging</topic><topic>Behcet Syndrome - complications</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Female</topic><topic>Graphite</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Circulation - physiology</topic><topic>Radionuclide Angiography</topic><topic>Radionuclide investigations</topic><topic>Radiopharmaceuticals</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Sodium Pertechnetate Tc 99m</topic><topic>Technetium Tc 99m Aggregated Albumin</topic><topic>Ventilation-Perfusion Ratio - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BASOGLU, TARIK</creatorcontrib><creatorcontrib>CANBAZ, FEVZIYE</creatorcontrib><creatorcontrib>BERNAY, IREM</creatorcontrib><creatorcontrib>DANACI, MURAT</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BASOGLU, TARIK</au><au>CANBAZ, FEVZIYE</au><au>BERNAY, IREM</au><au>DANACI, MURAT</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral Pulmonary Artery Aneurysms in a Patient With Behcet Syndrome: Evaluation With Radionuclide Angiography and V/Q Lung Scanning</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1998-11</date><risdate>1998</risdate><volume>23</volume><issue>11</issue><spage>735</spage><epage>738</epage><pages>735-738</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>The case of a 14-year-old girl with Behcet syndrome is described. Besides painful and recurrent oral ulcerations, the patient had a cough and intermittent hemoptysis. The initial chest roentgenogram revealed bilateral parahilar opacities. CT and MRI scans of the thorax showed bilateral thrombosing aneurysms of the pulmonary arteries. Pulmonary blood flow imaging was performed after technegas ventilation lung scanning and Tc-99m MAA injection using a first-pass radionuclide angiography procedure. Altered blood flow in the left pulmonary artery was shown. Bilateral and well-defined ventilation/perfusion mismatched areas suggested a high probability of pulmonary embolism. Little additional information was obtained on subsequent contrast pulmonary angiography. The high incidence of pulmonary artery hypertension and associated vascular injury risk makes pulmonary angiography an unsafe procedure in patients with pulmonary Behcet syndrome. The need for pulmonary angiography could be obviated in such cases with the use of high-precision MRI and ventilation/perfusion lung scanning, including radionuclide pulmonary angiography.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>9814558</pmid><doi>10.1097/00003072-199811000-00002</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Aneurysm - complications Aneurysm - diagnostic imaging Behcet Syndrome - complications Biological and medical sciences Cardiovascular system Female Graphite Humans Investigative techniques, diagnostic techniques (general aspects) Lung - diagnostic imaging Medical sciences Pulmonary Artery - diagnostic imaging Pulmonary Circulation - physiology Radionuclide Angiography Radionuclide investigations Radiopharmaceuticals Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Sodium Pertechnetate Tc 99m Technetium Tc 99m Aggregated Albumin Ventilation-Perfusion Ratio - physiology |
| title | Bilateral Pulmonary Artery Aneurysms in a Patient With Behcet Syndrome: Evaluation With Radionuclide Angiography and V/Q Lung Scanning |
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