Cardiomegaly as a cause of nonuniform pulmonary artery perfusion

In patients with cardiomegaly, a common cause of nonuniform pulmonary artery perfusion on pulmonary arteriograms is compression of the left lower lobe arteries by the enlarged heart, an effect which is accentuated by gravity in the supine position. This may impede flow in such a manner as to erroneo...

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Veröffentlicht in:American journal of roentgenology (1976) 1977-10, Vol.129 (4), p.661-666
Hauptverfasser: Beckmann, CF, Levin, DC, Ulreich, S
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container_title American journal of roentgenology (1976)
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creator Beckmann, CF
Levin, DC
Ulreich, S
description In patients with cardiomegaly, a common cause of nonuniform pulmonary artery perfusion on pulmonary arteriograms is compression of the left lower lobe arteries by the enlarged heart, an effect which is accentuated by gravity in the supine position. This may impede flow in such a manner as to erroneously suggest the presence of pulmonary emboli. Subselective left lower lobe arteriography with the patient in the right posterior oblique position will allow better anatomic definition of the vessels in this region and result in fewer equivocal or false positive studies.
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source American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection
subjects Adult
Aged
Cardiomegaly - complications
Cardiomegaly - diagnostic imaging
Child, Preschool
Diagnosis, Differential
Female
Humans
Infant
Lung - blood supply
Male
Middle Aged
Pulmonary Artery - diagnostic imaging
Pulmonary Circulation
Pulmonary Embolism - diagnostic imaging
Radiography
title Cardiomegaly as a cause of nonuniform pulmonary artery perfusion
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