A 35-year old man with dyspnea on exertion, history of acute pulmonary embolism and ischaemic stroke
Journal Title: Journal of Rare Cardiovascular Diseases - Year 2012, Vol 1, Issue 1
Abstract
We present a case of a 35-year old man with a history of an acute pulmonary embolism and ischaemic stroke, who after several weeks of adequate antithrombotic treatment experienced functional deterioration with severe dyspnea and haemoptysis. Detailed evaluation reveled chronic thromboembolic pulmonary hypertension, deep vein thrombosis of his right thigh and patent foramen ovale. No laboratory signs of a hypercoagulable conditions were found. After through assessment the patient was referredfor pulmonary endarterectomy and patent foramen ovale closure. Both procedures were performed successfully with the significant improvement in patient’s clinical status. Patient remained clinically stable with no signs of right ventricle dysfunction in the follow-up. This article provides details regarding etiopathogenesis, clinical features and diagnostic evaluation of chronic thromboembolic pulmonary hypertension related to an acute pulmonary embolism. It covers the latest guidelines for screeningand therapy as well as information regarding innovations in health care, and social care. JRCD 2012; 1: 24–29Key words: Pulmonary embolism; Chronic thromboembolic pulmonary hypertension; Pulmonary endarterectomy
Authors and Affiliations
Maria Wieteska, Piotr Szatkowski, Adam Torbicki
Keywords
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- EP ID EP245374
- DOI 10.20418/jrcd.vol1no1.26
- Views 110
- Downloads 0
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