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Pathophysiology and imaging diagnosis of main pulmonary artery dilatation in patients with chronic mountain sickness
CHEN Jing  BAO Hai-hua  ZHOU Zhu 

DOI:10.12015/issn.1674-8034.2017.09.013.


[Abstract] The mian causes of main pulmonary artery (MPA) dilatation in patients with chronic mountain sickness (CMS) is chronic plateau hypoxia, followed by cold. The combined action of both can affect the function of cardiovascular system. Imaging examination not only can effectively diagnose MPA dilatation, but also evaluate the relationship between MPA dilatation and pulmonary arterial hypertension or the effect of MPA dilatation on the heart. MRI plays an irreplaceable role in such examinations. This paper reviews the pathogenesis, clinical significance and imaging diagnosis of MPA dilatation in patients with CMS.
[Keywords] Main pulmonary artery dilatation；Pulmonary hypertension；Heart；Altitude；Diagnostic imaging

CHEN Jing Medical Imaging Center, The Affiliated Hospital of Qinghai University, Xi’ning 810001, China

BAO Hai-hua* Medical Imaging Center, The Affiliated Hospital of Qinghai University, Xi’ning 810001, China

ZHOU Zhu Medical Imaging Center, The Affiliated Hospital of Qinghai University, Xi’ning 810001, China

*Correspondence to: Bao HH, E-mail: baohelen2@sina.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of National Natural Science Foundation of China No. 81260216
Received  2017-05-09
Accepted  2017-08-10
DOI: 10.12015/issn.1674-8034.2017.09.013
DOI:10.12015/issn.1674-8034.2017.09.013.

[1]
吴一天.我国青藏高原慢性高原病研究的最新进展.中国实用内科杂志, 2012, 32(5): 321-323.
[2]
国际高原医学会慢性高原病专家小组.慢性高原病青海诊断标准.青海医学院学报, 2005, 26(1): 3-5.
[3]
中华医学会高原医学分会.关于统一使用慢性高原(山)病"青海标准"的决定.高原医学杂志, 2007, 17(1): 1-2.
[4]
孟莉，鲍海华. 3.0 T MR心脏成像研究慢性高原心脏病患者心脏结构和功能.中华放射学杂志, 2016, 50(11): 829-832.
[5]
Maignan M, Rivera-Ch M, Privat C, et al. Pulmonary pressure and cardiac function in chronic mountain sickness patients. Chest, 2009,135(2): 499-504.
[6]
Nguyen ET, Silva CI, Seely JM, et al. Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and radiography. AJR Am J Roentgenol, 2007, 188(2): W126-W134.
[7]
Lange TJ, Dornia C, Stiefel J, et al. Increased pulmonary artery diameter on chest computed tomography can predict borderline pulmonary hypertension. Pulm Circ, 2013, 3(2): 363-368.
[8]
Kuriyama K, Gamsu G, Stern RG, et al. CT-determined pulmonary artery diameters in predicting pulmonary hypertension. Invest Radiol, 1984,19(1): 16-22.
[9]
Haimovici JB, Trotman-Dickenson B, Halpern EF, et al. Relationship between pulmonary artery diameter at computed tomography and pulmonary artery pressures at right-sided heart catheterization. Massachusets General Hospital Lung Transplantation Program. Acad Radiol, 1997, 4(5): 327-334.
[10]
Tan RT, Kuzo R, Goodman LR, et al. Utility of CT scan evaluation for predicting pulmonary hypertension in patients with parenchymal lung disease. Medica College of Wisconsin Lung Transplant Group. Chest, 1998, 113(5): 1250-1256.
[11]
Dornia C, Lange TJ, Behrens G, et al. Multidetector computed tomography for detection and chracterization of pulmonary hypertension in consideration of WHO classifcation. J Comput Assist Tomogr, 2012, 36(2): 175-180.
[12]
郑亚国，熊长明，柳志红,等. CT测量主肺动脉直径在肺动脉高压诊断中的作用研究.中华临床医师杂志, 2014,8(1): 31-35.
[13]
Choi YJ, Kim U, Lee JS, et al. A case of extrinsic compression of the left main coronary artery secondary to pulmonary artery dilatation. J Korean Med Sci, 2013, 28(10): 1543-1548.
[14]
Mesquita SM, Castro CR, Ikari NM, et al. Likelihood of left main coronary artery compression based on pulmonary trunk diameter in patients with pulmonary hypertension. Am J Med, 2004, 116(6):369-374.
[15]
Choi YJ, Kim U, Lee JS, et al. A case of extrinsic compression of the left main coronary artery secondary to pulmonary artery dilatation. J Korean Med Sci, 2013, 28(10): 1543-1548.
[16]
刘延玲，李靖，王剑鹏,等.超声心动图评价正常心脏结构与功能.中华超声影像学杂志, 2006, 15(1): 13-16.
[17]
Truong QA, Massaro JM, Rogers IS, et al. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: the Framingham Heart Study. Circ Cardiovasc Imaging, 2012, 5(1): 147-154.
[18]
Edwards PD, Bull RK, Coulden R. CT measurement of main pulmonary artery diameter. Br J Radiol, 1998, 71(850): 1018-1020.
[19]
Karazincir S, Balci A, Seyfeli E, et al. CT assessment of main pulmonary artery diameter. Diagn Interv Radiol, 2008, 14(2): 72-74.
[20]
Raymond TE, Khabbaza JE, Yadav R, et al. Significance of main pulmonary artery dilationon imaging studies. Ann Am Thorac Soc, 2014, 11(10): 1623-1632.
[21]
李一丹，吕秀章，王怡丹,等.超声心动图无创评价肺动脉高压血流动力学临床应用.中国超声医学杂志, 2015, 31(11): 971-974.
[22]
孙丹丹，侯颖，袁丽君,等.超声多普勒方法估测肺动脉平均压的效果比较.中国超声医学杂志, 2016, 32(8): 714-716.
[23]
卢星如，王刚，郭顺林,等. 64层螺旋CT肺动脉造影成像技术及影响因素的分析.中国CT和MRI杂志, 2012, 10(2): 41-43.
[24]
国静静，孙艳秋.慢性高原病影像学研究进展.现代医药卫生, 2016, 32(10): 1506-1508.
[25]
杨帆，李东，杨振文,等.基于CMR的肺动脉径线测量评价肺高血压的临床实用价值.中国肺癌杂志, 2017, 20(2): 93-99.
[26]
Burman ED, Keegan J, Kilner PJ. Pulmonary artery diameters, cross sectional areas and area changes measured by cine cardiovascular magnetic resonance in healthy volunteers. J Cardiovasc Magn Reson, 2016, 18(1): 1-10.
[27]
Shimoda LA, Sham JS, Sylvester JT. Altered pulmonary vasoreactivity in the chronically hypoxic lung. Physiol Res, 2000, 49(5): 549-560.
[28]
Czerner CP, Winther HB, Zapf A, et al. Breath-hold and free-breathing 2D phase-contrast MRI for quantification of oxygen-induced changes of pulmonary circulation dynamics in healthy volunteers. J Magn Reson Imaging, 2017. DOI:
[29]
Sanz J, Kariisa M, Dellegrottaglie S, et al. Evaluation of pulmonary artery stiffness in pulmonary hypertension with cardiac magnetic resonance. JACC Cardiovasc Imaging, 2009, 2(3): 286-295.
[30]
Swift AJ, Rajaram S, Condliffe R, et al. Pulmonary artery relative area change detects mild elevations in pulmonary vascular resistance and predicts adverse outcome in pulmonary hypertension. Invest Radiol, 2012, 47(10): 571-577.
[31]
Sanz J, Kuschnir P, Rius T, et al. Pulmonary arterial hypertension: noninvasive detection with phase-contrast MR imaging. Radiology, 2007, 243(1): 70-79.
[32]
Mousseaux E, Tasu JP, Jolivet O, et al. Pulmonary arterial resistance: noninvasive measurement with indexes of pulmonary flow estimated at velocity-encoded MR imaging-Preliminary experience. Radiology, 1999, 212(3): 896-902.
[33]
Zoran S, Bradley DA, Julio G, et al. 4D flow imaging with MRI. Cardiovasc Diagn Ther, 2014, 4(2): 173-192.
[34]
赵世华.心脏磁共振技术新进展.磁共振成像, 2014, 5(1): 73-77.
[35]
Markl M, Frydrychowicz A, Kozerke S, et al. 4D flow MRI. J Magn Reson Imaging, 2012, 36(5): 1015-1036.
[36]
祁丽.心肌磁共振T1 mapping技术及其临床应用进展.医学研究生学报, 2015, 28(6): 650-654.
[37]
程赛楠，赵世华.心脏磁共振成像新技术进展与展望.磁共振成像, 2016, 7(7): 541-545.

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