Assessment of pulmonary artery involvement in Takayasu′s arteritis by conventional ultrsound and contrast-enhanced ultrasound

doi:10.3877/cma.j.issn.1672-6448.2019.01.011

Abstract

Abstract:

Objective

To investigate the characteristics of pulmonary artery involvement in Takayasu′s arteritis by conventional ultrasound and contrast-enhanced ultrasound and its value in the diagnosis of the disease.

Methods

The findings of echocardiography, peripheral vascular ultrasound, and contrast enhanced ultrasound of the heart and peripheral vessels were reviewed and analyzed in 5 patients with pulmonary artery involvement in Takayasu′s arteritis.

Results

The main features of conventional ultrasound in 5 patients were as follows: tricuspid regurgitation (4/5), pulmonary valvular regurgitation (2/5), pulmonary arterial hypertension (3/5), the diameter of the left or right pulmonary artery was decreased (3/5), the wall of the left or right pulmonary artery was thickened and the echogenicities were decreased (3/5), the peripheral vessels outside the pulmonary artery were invaded (5/5). The main features of contrast-enhanced ultrasound in 5 patients were as follows: the diameter of the left or right pulmonary arteries showed low or no enhancement (4/4), thickened vascular walls were markedly or slightly enhanced (4/5), thickened vascular walls were not enhanced (1/5).

Conclusions

The ultrasonic manifestations of pulmonary artery involvement in Takayasu′s arteritis have some characteristics. Conventional plus and contrast-enhanced ultrasound combined with clinical manifestations and peripheral vascular findings will be helpful in the diagnosis of pulmonary arteries involvement in Takayasu′s arteritis.

Min Li, Yujiao Deng, Jian Zhu, Zhixin Liang, Guoxin Mo, Xiaohui Ma, Jie Tang. Assessment of pulmonary artery involvement in Takayasu′s arteritis by conventional ultrsound and contrast-enhanced ultrasound[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(01): 43-47.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2019.01.011

https://chaosheng.cma-cmc.com.cn/EN/Y2019/V16/I01/43

Figures/Tables 6

References 24

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病例	年龄（岁）	临床症状				化验检查		其他影像检查
病例	年龄（岁）	发热	胸闷	咳嗽	肺炎	血沉（mm/h）	C反应蛋白（mg/dl）	CTA
1	27	有	?	有	有	73	7.08	有
2	46	有	有	有	有	92	13.5	有
3	39	无	无	无	有	?	1.42	有
4	46	有	有	有	有	25	0.531	有
5	22	有	有	无	有	74	7.923	有

病例	年龄（岁）	临床症状				化验检查		其他影像检查
病例	年龄（岁）	发热	胸闷	咳嗽	肺炎	血沉（mm/h）	C反应蛋白（mg/dl）	CTA
1	27	有	?	有	有	73	7.08	有
2	46	有	有	有	有	92	13.5	有
3	39	无	无	无	有	?	1.42	有
4	46	有	有	有	有	25	0.531	有
5	22	有	有	无	有	74	7.923	有

病例	外周动脉超声检查病变动脉管壁厚度（mm）						外周血管超声造影
病例	颈总动脉	无名动脉	升主动脉	主动脉弓	腹主动脉	锁骨下动脉	增厚管壁增强
1	2	1.8	-	-	-	-	明显增强
2	2.2	-	2.5	-	2.0	-	少量增强
3	-	1.6	2.9	2.8	-	-	无增强
4	1.6	-	-	-	-	2.6	少量增强
5	-	-	-	-	1.6	-	少量增强

病例	外周动脉超声检查病变动脉管壁厚度（mm）						外周血管超声造影
病例	颈总动脉	无名动脉	升主动脉	主动脉弓	腹主动脉	锁骨下动脉	增厚管壁增强
1	2	1.8	-	-	-	-	明显增强
2	2.2	-	2.5	-	2.0	-	少量增强
3	-	1.6	2.9	2.8	-	-	无增强
4	1.6	-	-	-	-	2.6	少量增强
5	-	-	-	-	1.6	-	少量增强

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