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Severe pulmonary arterial hypertension

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Known "primary" pulmonary hypertension. Sudden shortness of breath ? PE

Patient Data

Age: 35
Gender: Female

CTPA

Marked right atrial and ventricular enlargement with reflux of contrast into IVC and hepatic veins. Huge pulmonary outflow tract with large pulmonary arteries showing peripheral "pruning". Note the relatively small sized thoracic aorta.

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