Pulmonary veno-occlusive disease: antemortem diagnosis from roentgenographic and hemodynamic findings
Rambihar, V.S.; Fallen, E.L.; Cairns, J.A.
Canadian Medical Association Journal 120(12): 1519-1522
1979
ISSN/ISBN: 0008-4409 PMID: 455208 Document Number: 145943
A 17-year-old boy with pulmonary veno-occlusive disease underwent Swan--Ganz catheterization. A normal pulmonary capillary wedge pressure was recorded in the presence of severe pulmonary arterial hypertension and roentgenographic evidence of pulmonary venous congestion. This triad of findings permitted an unequivocal diagnosis of pulmonary veno-occlusive disease, which was later confirmed at autopsy. The hemodynamics of this condition and of others included in the differential diagnosis are presented schematically.