Journal «Angiology and Vascular Surgery» • 

2004 • VOLUME 10 • №4


V.A. Safonov, N.I. Shkuratova, A.F. Ganichev, A.L. Rodin, V.G. Khudashov
Railway Clinical Hospital, Department of Roentgenology, Cardiovascular Center,
Novosibirsk, Russia

To verify the hypothetical diagnosis of pulmonary thromboembolism (РТЕ), 64 patients were provided CT of the chest organs with pulmonary artery opacification, Twenty-seven patients had thromboemboli in different parts of the vascular tree. In 9 patients, the thromboemboli were parietal, with flow preservation at the site of thromboembolus fixation, and in 18 patients, the emboli occluded the vascular lumen. In 11 patients with occlusion of the segmental and subsegmental arteries, the clinical course of РТЕ, in addition to acute cardiovascular insufficiency, was marked by cough, hemoptysis and pneumoinfarction; the tomograms showed well-defined parts of pneumoinfarction and pleural exudate. In the event of non-occlusion thromboembolism, the clinical picture was only marked by acute cardiovascular insufficiency. In 37 patients, no thromboemboli were discovered in the system of the pulmonary artery. Of these, 27 patients presented, however, with some other pathology of the chest organs.

KEY WORDS: computed tomography, pulmonary thromboembolism, computed diagnosis.

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