文献类型：期刊文献

英文题名：Pulmonary perfusion scintigraphy in diagnosis and management of fibrosing mediastinitis

作者：Wang, R.[1];LI, Z.[2];Wang, Y.[1];Wang, H.[1]

第一作者：Wang, R.

通信作者：Wang, H[1]

机构：[1]Gansu Prov Hosp, Dept Nucl Med, Lanzhou 730000, Peoples R China;[2]Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China

第一机构：Gansu Prov Hosp, Dept Nucl Med, Lanzhou 730000, Peoples R China

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Nucl Med, Lanzhou 730000, Peoples R China.

年份：2022

卷号：20

期号：4

起止页码：893

外文期刊名：INTERNATIONAL JOURNAL OF RADIATION RESEARCH

收录：;Scopus(收录号：2-s2.0-85152418293);WOS:【SCI-EXPANDED(收录号:WOS:000904553100025)】；

基金：Funding: This article is supported by the Gansu Natural Science Found (No. 21JR1RA025) and the Science Foundation of Gansu Provincial Hospital (No. 20GSSY4-17) .

语种：英文

外文关键词：pulmonary perfusion scintigraphy; fibrosing mediastinitis; pulmonary artery stenosis; pulmonary vein stenosis; interventional therapy; SPECT; CT

摘要：Pulmonary ventilation/perfusion (V/Q) scintigraphy is often used for the diagnosis of pulmonary embolism. However, it should be noted that the perfusion defect shown by pulmonary perfusion imaging is not the only manifestation of pulmonary embolism. Any disease that causes pulmonary vasculature stenosis and occlusion can cause pulmonary blood flow perfusion impaired. We report a case of fibrosing mediastinitis (FM) with pulmonary hypertension as a complication of pulmonary artery and pulmonary vein stenosis. Based on clinical symptoms, laboratory test and multiple radiographic findings, the diagnosis of FM was established. The patient underwent balloon dilation and stent implantation of right upper lobe pulmonary vein, as well as balloon dilatation of right upper lobe pulmonary artery, whose symptoms was immediately improved during the following investigation.