AngioTAC como método de diagnóstico y decisión quirúrgica en el tromboembolismo pulmonar crónico: Discusión a propósito de un caso / CT angiography as the diagnostic and decision making method used for surgical indication in pulmonary hypertension due to chronic thromboembolism: Report of one case
Rev. méd. Chile
;
133(5): 565-569, mayo 2005. ilus
Article
Dans Espagnol
| LILACS
| ID: lil-429058
ABSTRACT
Pulmonary hypertension due to chronic pulmonary thromboembolism is frequently underdiagnosed and has a very poor prognosis if untreated. When the presence of central pulmonary artery thrombus is confirmed, thromboendarterectomy is the treatment of choice, with very good results. We report a 28 years old male with two previous episodes of deep venous thrombosis (DVT) who was admitted due to 8 months of progressive shortness of breath and a syncope. He underwent a CT pulmonary angiogram and an echocardiogram. Severe pulmonary hypertension was confirmed, secondary to a chronic pulmonary thromboembolism with an overlapped acute component. He received systemic thrombolysis with partial thrombus disappearance. Therefore a pulmonary thromboendarterectomy was performed and an inferior vena cava filter was placed. The patient was discharged with marked improvement in his functional capacity.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Embolie pulmonaire
/
Tomodensitométrie
/
Hypertension pulmonaire
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Étude pronostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2005
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
1Pontificia Universidad Católica de Chile/CL
/
Pontificia Universidad Católica de Chile/CL
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