Case 108: Approaching a Patient with PH - It Shouldn’t Be So Difficult!

It is important to look for specific causes of PH in a structured manner on a CTPA

Bhavin Jankharia

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A 26-yrs old had progressive dyspnea. Echo showed severe pulmonary hypertension (PH). Her 4th CTPA was done a year later with us.

Lung windows
CTPA
CTPA for RPA and LPA

Thoughts?

Her earlier 3 CTPAs over a year were reported as normal, except for the dilated MPA, RPA and LPA, with the first one erroneously diagnosing pulmonary thromboembolism.

The video discusses the case, the diagnosis and a practical approach to patients with PH to ensure we don't miss easily diagnosable conditions causing PH.

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