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Case Report
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| Chronic thromboembolic pulmonary hypertension, a disease frequently misdiagnosed | ||||||
| Margita Belicová1, Veronika Jankovičová2, Marian Mokáň3 | ||||||
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1MD, PhD, Cardiologist, Department of Internal Medicine, University Hospital, Kollarova 2, 03659 Martin, Slovakia.
2MD, Internist, Department of General Cardiology, Banská Bystrica, Slovakia. 3Prof., MD, DrSc, Head of Department of Internal Medicine, University Hospital, Kollarova 2, 03659 Martin, Slovakia. | ||||||
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| How to cite this article |
| Belicová M, Jankovičová V, Mokáň M. Chronic thromboembolic pulmonary hypertension, a disease frequently misdiagnosed. Int J Case Rep Images 2017;8(1):51–56. |
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Abstract
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Introduction:
Chronic thromboembolic pulmonary hypertension results from incomplete resolution of a pulmonary embolus, leading to pulmonary hypertension and progressive right heart failure and death. Contemporary pharmacological and especially surgical treatment possibilities offer hope for the patient's full recovery, but an early diagnosis is crucial for success.
Case Report: A 56-year-old white female, who despite thrombolytic therapy and next appropriate anticoagulation, was re-hospitalized six years after acute pulmonary embolism for severe pulmonary hypertension, due to chronic thromboembolic pulmonary hypertension. Before the diagnosis was established, she underwent lungs biopsy because of suspected interstitial lung disease and a bone marrow aspirate and biopsy because of progressive polycythemia. After chronic thromboembolic pulmonary hypertension was established, she underwent successful pulmonary endarterectomy. Conclusion: Chronic thromboembolic pulmonary hypertension is frequently misdiagnosed in clinical practice. This report aims to increase the awareness of clinicians towards an accurate diagnosis of the disease, which is necessary for the early referral of chronic thromboembolic pulmonary hypertension patients for operability, pulmonary endarterectomy. | |
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Keywords:
Chronic thromboembolic pulmonary hypertension, Pulmonary embolism, Pulmonary endarterectomy, Pulmonary hypertension
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Author Contributions
Margita Belicová – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Veronika Jankovičová – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Marian Mokáň – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Margita Belicová et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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