Large vessel pulmonary arteritis mimicking chronic thromboembolic disease

Am J Respir Crit Care Med. 1995 Jul;152(1):367-73. doi: 10.1164/ajrccm.152.1.7599847.


Chronic obstruction of pulmonary arteries can be due to a variety of disease processes, including chronic thromboembolic disease, fibrosing mediastinitis, or neoplasia. Large vessel arteritis is another unusual cause of pulmonary artery obstruction and can be difficult to distinguish from the above-listed etiologies. We present four patients referred to our institution with the provisional diagnosis of chronic thromboembolic pulmonary hypertension who were subsequently diagnosed with Takayasu's arteritis involving the pulmonary arteries. We review the historical, physical examination, and radiologic characteristics that help distinguish Takayasu's arteritis from chronic thromboembolic disease.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Biopsy
  • Chronic Disease
  • Diagnosis, Differential
  • Female
  • Humans
  • Physical Examination
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / pathology*
  • Pulmonary Embolism / diagnosis*
  • Pulmonary Embolism / diagnostic imaging
  • Radiography
  • Takayasu Arteritis / diagnosis*
  • Takayasu Arteritis / diagnostic imaging