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Chest, Vol 95, 503-508, Copyright © 1989 by American College of Chest Physicians

ARTICLES

Chronic thromboembolic occlusion in the adult can mimic pulmonary artery agenesis

KM Moser, LK Olson, M Schlusselberg, PO Daily and WP Dembitsky
Department of Medicine, Pulmonary and Critical Care Division, University of California, San Diego School of Medicine 92103.

In the first 100 patients operated on for C T-E PH, three were referred with the diagnosis of UPAA having been made elsewhere. We found that many features of these two conditions are so similar that differential diagnosis is very difficult. Shared features may include findings on chest x-ray film, pulmonary angiography, CT scan and MRI studies. Since the two conditions vary substantially with respect to the methods of potential surgical correction, recognition of this possible differential diagnostic dilemma is important.


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