Fatal acute right heart failure in gastric cancer patients
Heart Views. 2013; 14 (4): 179-181
em Inglês
| IMEMR
| ID: emr-142019
ABSTRACT
Pulmonary tumor thrombotic microangiopathy [PTTM] is a rare condition causing pulmonary artery hypertension and acute right heart failure in patients with cancer. However, chest computer tomography shows negative finding of pulmonary thromboembolism. Serum D-dimer level may be elevated. Echocardiography reveals a dilated right ventricle and feature of pulmonary artery hypertension. Establishing this diagnosis can be very difficult, and most cases are diagnosed during autopsy, although a history of cancer may be a predictor. PTTM should be considered in all patients with apparent pulmonary artery hypertension and elevated D-dimer level, particularly when the patient is known to have an underlying malignancy, especially adenocarcinoma and most of all, the clinical manifestation is very rapidly progressive.
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Neoplasias Gástricas
/
Produtos de Degradação da Fibrina e do Fibrinogênio
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Heart Views
Ano de publicação:
2013
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