Table 2.
Case | Clinical symptoms | Computed tomography | Echocardiography | PAG | Clinical outcome |
---|---|---|---|---|---|
1 | DOE | Ground-glass opacity Diffuse patchy nodular interstitial opacity |
Normal | Tapering vascular shadow of both upper lungs, mPAP = 30 mmHg | Oxygen therapy→improved |
2 | Polypnoea, hypoxemia | Ground-glass opacity Pleural effusion |
mPAP = 70–75, 55 mmHg (under NO), RVH |
— | Diuretics→severe PH→NO, PDE5i, PGI2→anticoagulants→improved |
3 | DOE, hypoxemia, polypnoea, | Ground-glass opacity | mPAP = 40–50 mmHg | — | NO, PDE5i, PGI2→anticoagulants, antithrombotic drugs→improved |
4 | Hypoxemia, sudden chest-abdominal pain | — | mPAP = 50–55 mmHg | — | Oxygen→sudden cardiopulmonary arrest (death) |
DOE = dyspnea on exertion; mPAP = mean pulmonary artery pressure; PAG = pulmonary angiography; PDE5i = cGMP-specific phosphodiesterase type 5 inhibitor; PGI2 = prostaglandin I2; PH = pulmonary hypertension; RVH = right ventricular enlargement.