CT angiography as the diagnostic and decision making method used for surgical indication in pulmonary hypertension due to chronic thromboembolism. Report of one case
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Date
2005
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SOC MEDICA SANTIAGO
Abstract
Pulmonary hypertension due to chronic pulmonary thromboembolisin 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 thromboembolisin 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.
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Keywords
angiograpby, digital substraction, endarterectomy, pulmonary embolism, tomography, X-ray computed