ABSTRACT
Chronic thromboembolic pulmonary hypertension is a rare sequela to an acute untreated or recurrent pulmonary embolism. The mechanisms that underlie the failure to resolve the thrombus are still uncertain. As most patients are not diagnosed until a relatively late stage, little is known about the course of their illness. We report the case of a 51-year-old woman who had previously been diagnosed with and operated on for endomyocardial fibrosis of the right ventricle and who developed chronic thromboembolic pulmonary hypertension several years later.
Subject(s)
Endomyocardial Fibrosis/complications , Hypertension, Pulmonary/etiology , Pulmonary Embolism/complications , Anticoagulants/therapeutic use , Chronic Disease , Endomyocardial Fibrosis/surgery , Epoprostenol/therapeutic use , Female , Heart Ventricles , Humans , Hypertension, Pulmonary/diagnostic imaging , Hypertension, Pulmonary/drug therapy , Middle Aged , Postoperative Complications/etiology , Pulmonary Embolism/drug therapy , Suriname/ethnology , Tomography, Spiral ComputedABSTRACT
La hipertensión pulmonar tromboembólica crónica es una secuela infrecuente de la embolia pulmonar aguda no tratada o recurrente. Los mecanismos subyacentes para el fallo de resolución del trombo son todavía inciertos. La mayoría de los pacientes se diagnostican en un estadio tardío de la enfermedad, por lo que su historia natural no es completamente conocida. Presentamos el caso de una paciente de 51 años diagnosticada e intervenida de fibrosis endomiocárdica del ventrículo derecho que, tras varios años de evolución, desarrolló hipertensión pulmonar tromboembólica crónica (AU)
