Tc-99m MAA Lung Perfusion Scintigraphy Performed Before and After Pulmonary Embolectomy for Saddle-Type Pulmonary Embolism
A 58-year-old man had shortness of breath, hypotension, and decreased partial pressure of oxygen (PO2) on the eighteenth day after undergoing craniotomy for a meningioma. Tc-99m MAA pulmonary perfusion scintigraphy showed little perfusion to the right lung and left lower lung and multiple perfusion...
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| Veröffentlicht in: | Clinical nuclear medicine 1995-02, Vol.20 (2), p.128-131 |
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| container_title | Clinical nuclear medicine |
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| creator | SHIH, WEI-JEN ROBINSON, M CLIVE HUBER, CARY PULMANO, CALIXTO |
| description | A 58-year-old man had shortness of breath, hypotension, and decreased partial pressure of oxygen (PO2) on the eighteenth day after undergoing craniotomy for a meningioma. Tc-99m MAA pulmonary perfusion scintigraphy showed little perfusion to the right lung and left lower lung and multiple perfusion defects in the left upper lung. Although the results of concurrent chest radiography were negative for pulmonary infiltrates, pulmonary angiography demonstrated a saddle-type embolism. The patient underwent emergency pulmonary artery embolectomy to remove blood clots and organized thromboemboll from the main pulmonary artery and the right and left pulmonary arteries. The patientʼs postoperative course was uneventful, and a second Tc-99m MAA lung perfusion scan demonstrated marked improvement in lung perfusion. |
| doi_str_mv | 10.1097/00003072-199502000-00007 |
| format | Article |
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Tc-99m MAA pulmonary perfusion scintigraphy showed little perfusion to the right lung and left lower lung and multiple perfusion defects in the left upper lung. Although the results of concurrent chest radiography were negative for pulmonary infiltrates, pulmonary angiography demonstrated a saddle-type embolism. The patient underwent emergency pulmonary artery embolectomy to remove blood clots and organized thromboemboll from the main pulmonary artery and the right and left pulmonary arteries. 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Tc-99m MAA pulmonary perfusion scintigraphy showed little perfusion to the right lung and left lower lung and multiple perfusion defects in the left upper lung. Although the results of concurrent chest radiography were negative for pulmonary infiltrates, pulmonary angiography demonstrated a saddle-type embolism. The patient underwent emergency pulmonary artery embolectomy to remove blood clots and organized thromboemboll from the main pulmonary artery and the right and left pulmonary arteries. The patientʼs postoperative course was uneventful, and a second Tc-99m MAA lung perfusion scan demonstrated marked improvement in lung perfusion.</description><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Embolectomy</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Embolism - diagnostic imaging</subject><subject>Pulmonary Embolism - surgery</subject><subject>Radiography</subject><subject>Radionuclide Imaging</subject><subject>Radionuclide investigations</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>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctuGyEUhlHUKnHcPEIkFlF3tNwMw9KN0jaSq0aKu0YMcyaehBkcmFHkPn1J7HpRqWw4l_8_HH0ghBn9xKjRn2k5gmpOmDELyktGXkv6BM3YQihCOTfv0IwKJYjRip-h85wfKWWKKXmKTrXmxS9m6PfaE2N6_GO5xKtpeMB3kNopd3HA974bxu4hue1m91aOqYcGf4ESAHZDg5ftCAnfTaGPg0s7fNPXMYAfY7_DRYTvXdMEIOvdFv5Vdbn_gN63LmS4ONxz9Ovrzfr6O1n9_HZ7vVwRLyqpSc08BclaJpWiTS1kBaIWoAzn0sHC-bqh4DxI3RhTqRI0momWV5pVtQIp5ujjfu42xecJ8mj7LnsIwQ0Qp2wLC1ZVBdscVXuhTzHnBK3dpq4vK1tG7St2-xe7PWJ_K-livTy8MdUF0tF44Fz6V4e-y96FNrnBd_koE7KMK1vPkdzLXmIoaPNTmF4g2Q24MG7s_z5d_AGdppok</recordid><startdate>199502</startdate><enddate>199502</enddate><creator>SHIH, WEI-JEN</creator><creator>ROBINSON, M CLIVE</creator><creator>HUBER, CARY</creator><creator>PULMANO, CALIXTO</creator><general>Lippincott-Raven Publishers</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>199502</creationdate><title>Tc-99m MAA Lung Perfusion Scintigraphy Performed Before and After Pulmonary Embolectomy for Saddle-Type Pulmonary Embolism</title><author>SHIH, WEI-JEN ; ROBINSON, M CLIVE ; HUBER, CARY ; PULMANO, CALIXTO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3847-b1c0e41f14660db348e3b3e69224ae5acbd0eace47d9986ce4d713f28718b6e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Embolectomy</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Embolism - diagnostic imaging</topic><topic>Pulmonary Embolism - surgery</topic><topic>Radiography</topic><topic>Radionuclide Imaging</topic><topic>Radionuclide investigations</topic><topic>Technetium Tc 99m Aggregated Albumin</topic><topic>Ventilation-Perfusion Ratio - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHIH, WEI-JEN</creatorcontrib><creatorcontrib>ROBINSON, M CLIVE</creatorcontrib><creatorcontrib>HUBER, CARY</creatorcontrib><creatorcontrib>PULMANO, CALIXTO</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>SHIH, WEI-JEN</au><au>ROBINSON, M CLIVE</au><au>HUBER, CARY</au><au>PULMANO, CALIXTO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tc-99m MAA Lung Perfusion Scintigraphy Performed Before and After Pulmonary Embolectomy for Saddle-Type Pulmonary Embolism</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1995-02</date><risdate>1995</risdate><volume>20</volume><issue>2</issue><spage>128</spage><epage>131</epage><pages>128-131</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>A 58-year-old man had shortness of breath, hypotension, and decreased partial pressure of oxygen (PO2) on the eighteenth day after undergoing craniotomy for a meningioma. Tc-99m MAA pulmonary perfusion scintigraphy showed little perfusion to the right lung and left lower lung and multiple perfusion defects in the left upper lung. Although the results of concurrent chest radiography were negative for pulmonary infiltrates, pulmonary angiography demonstrated a saddle-type embolism. The patient underwent emergency pulmonary artery embolectomy to remove blood clots and organized thromboemboll from the main pulmonary artery and the right and left pulmonary arteries. The patientʼs postoperative course was uneventful, and a second Tc-99m MAA lung perfusion scan demonstrated marked improvement in lung perfusion.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>7720303</pmid><doi>10.1097/00003072-199502000-00007</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-9762 |
| ispartof | Clinical nuclear medicine, 1995-02, Vol.20 (2), p.128-131 |
| issn | 0363-9762 1536-0229 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Cardiovascular system Embolectomy Humans Investigative techniques, diagnostic techniques (general aspects) Lung - diagnostic imaging Male Medical sciences Middle Aged Pulmonary Artery - diagnostic imaging Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - surgery Radiography Radionuclide Imaging Radionuclide investigations Technetium Tc 99m Aggregated Albumin Ventilation-Perfusion Ratio - physiology |
| title | Tc-99m MAA Lung Perfusion Scintigraphy Performed Before and After Pulmonary Embolectomy for Saddle-Type Pulmonary Embolism |
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