Pulmonary artery calcification detected radiologically is invariably associated with the Eisenmenger Syndrome. Its appearance is relatively uncommon and 4 further cases are described. It is suggested that the relative rarity of the cases of pulmonary artery calcification in this syndrome is due to the fact that the majority of patients die before the age of 40 years.
If there is associated calcification in the arch of the aorta the reversed shunt is likely to be at ductus level. If such calcification is absent from the aorta the shunt is more likely to be at ventricular or atrial level.
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References
1.
BingR. J., VandamL. D., GrayF. D.Jr. (1947). Physiological studies in congenital heart disease. Bulletin of the Johns Hopkins Hospital, 80, 323
2.
DaileyF. H., GenoveseP. D., Behnke (1962). Patent ductus arteriosus with reversal of flow in adults. Annals of Internal Medicine, 56, 865
3.
EisenmengerV. (1897). Die angeborenen defekte der kammerscheidewand des herzens. Zeitschrift fur klinische Medizin, 32, Suppl. p. 1
4.
GoldfischerS. (1963). Abscess of brain in patient with ventricular septal defect: Reversal of blood flow and calcification of pulmonary artery. Journal of the American Medical Association, 184, 896
5.
SteinbergI. (1966). Calcification of the pulmonary artery and enlargement of the right ventricle: A sign of congenital heart disease. American Journal of Roentgenology, Radium Therapy and Nuclear Medicine, 98, 369
6.
TimpanelliA. E., SteinbergI. (1961). Calcification of pulmonary arteries in patent ductus arteriosus with reversal of blood flow: Report of four cases. American Journal of Medicine, 30, 405
7.
WoodP. (1958). Eisenmenger Syndrome: Or pulmonary hypertension with reversed central shunt. British Medical Journal, 2, 701, 755
