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Revista médica de Chile

versão impressa ISSN 0034-9887

Resumo

CLARO G-A, Juan Carlos; BAUDRAND B, René; BAEZA P, Cristián  e  LETELIER S, Luz María. 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 [online]. 2005, vol.133, n.5, pp.565-569. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872005000500008.

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

Palavras-chave : Angiography, digital substraction; Endarterectomy; Pulmonary embolism; Tomography, X-ray computed.

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