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CT Angiography Findings of the Left Atrium and Right Ventricle in Patients with Massive Pulmonary Embolism

Iclal Ocak1 and Carl Fuhrman

1 Both authors: Department of Radiology, Thoracic Imaging Division, University of Pittsburgh Medical Center, 200 Lothrop St., Pittsburgh, PA 15213.


Figure 1
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  		Fig. 1A —Imaging findings of heart in 24-year-old woman during large pulmonary artery embolism and after treatment. Transverse contrast-enhanced chest CT volume-rendered images of whole heart show change in volume of left atrium during massive pulmonary embolism (A) and after treatment of massive pulmonary embolism (B).

 

Figure 2
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  		Fig. 1B —Imaging findings of heart in 24-year-old woman during large pulmonary artery embolism and after treatment. Transverse contrast-enhanced chest CT volume-rendered images of whole heart show change in volume of left atrium during massive pulmonary embolism (A) and after treatment of massive pulmonary embolism (B).

 

Figure 3
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  		Fig. 1C —Imaging findings of heart in 24-year-old woman during large pulmonary artery embolism and after treatment. Transverse contrast-enhanced chest CT images show decreased size of left atrium and superior pulmonary veins before treatment for massive pulmonary embolism (C) compared with images after treatment of massive pulmonary embolism (D).

 

Figure 4
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  		Fig. 1D —Imaging findings of heart in 24-year-old woman during large pulmonary artery embolism and after treatment. Transverse contrast-enhanced chest CT images show decreased size of left atrium and superior pulmonary veins before treatment for massive pulmonary embolism (C) compared with images after treatment of massive pulmonary embolism (D).

 

Figure 5
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  		Fig. 1E —Imaging findings of heart in 24-year-old woman during large pulmonary artery embolism and after treatment. Transverse contrast-enhanced chest CT images show large right ventricle and compressed left ventricle before treatment for massive pulmonary embolism (E) compared with normal size of right and left ventricles after massive pulmonary embolism (F).

 

Figure 6
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  		Fig. 1F —Imaging findings of heart in 24-year-old woman during large pulmonary artery embolism and after treatment. Transverse contrast-enhanced chest CT images show large right ventricle and compressed left ventricle before treatment for massive pulmonary embolism (E) compared with normal size of right and left ventricles after massive pulmonary embolism (F).

 

Figure 7
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  		Fig. 2A —59-year-old woman with massive pulmonary embolism. Transverse contrast-enhanced chest CT images at level of left atrium obtained before treatment for massive pulmonary embolism (A) show enlargement of right atrial appendage, superior vena cava, and small size of left atrial appendage and left atrium compared with image after treatment of massive pulmonary embolism (B).

 

Figure 8
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  		Fig. 2B —59-year-old woman with massive pulmonary embolism. Transverse contrast-enhanced chest CT images at level of left atrium obtained before treatment for massive pulmonary embolism (A) show enlargement of right atrial appendage, superior vena cava, and small size of left atrial appendage and left atrium compared with image after treatment of massive pulmonary embolism (B).

 

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