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Rev. bras. cardiol. invasiva ; 23(2): 148-151, abr.-jun. 2015. ilus
Article in Portuguese | LILACS | ID: lil-787000

ABSTRACT

Relatamos o caso de um paciente portador de hipertensão pulmonar de origem esquistossomótica, que procurou pronto atendimento por apresentar quadro de dor torácica em repouso. A apresentação clínica e os demais dados referentes ao caso levantaram a suspeita de insuficiência coronariana aguda, e foi diagnosticada uma obstrução grave do tronco da coronária esquerda. O relato do caso teve por objetivo destacar a necessidade do diagnóstico diferencial da queixa de dor torácica nestes pacientes e ressaltar a opção da intervenção coronariana percutânea como tratamento eficaz e seguro neste cenário.


This report describes a patient with pulmonary hypertension secondary to schistosomiasis, who sought emergency care due to chest pain at rest. The clinical presentation and other information related to the case raised the suspicion of acute coronary failure, and a severe obstruction was identified in the left main coronary artery. The case report aimed to highlight the need for a differential diagnosis of chest pain complaints in these patients, and emphasizes the choice of percutaneous coronary intervention as an effective and safe treatment in this scenario.


Subject(s)
Humans , Male , Aged , Angina Pectoris/complications , Pulmonary Artery/surgery , Schistosomiasis/complications , Schistosomiasis/therapy , Angiography/methods , Bundle-Branch Block/complications , Chest Pain/complications , Echocardiography/methods , Hypertension, Pulmonary , Stents , Ultrasonography/methods
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