Lymphangiogram Oil Droplet Embolism

Physiology

  • Pulmonary hypertension due to embolism of oil droplets to pulmonary vasculature
    [Gold, NEJM, 1965]
  • V/Q mismatching

Diagnosis

  • ABG: marked transient (usually) increase in A-a gradient
  • PFT’s: decreased DLCO
  • ECHO: CO usually normal
  • V/Q scan:
  • Pulmonary angiogram

References

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