Chronic thromboembolic pulmonary hypertension is a clot you cannot swat
A 49-year-old man with progressive dyspnea on exertion and a remote history of syncope presented with hypotension and acute right ventricular failure, and was ultimately diagnosed with acute pulmonary embolism. Laboratory data revealed a prolonged activated partial thromboplastin time, which confoun...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246842871930098X |
| _version_ | 1818323199610322944 |
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| author | G. Jay Bishop, MD, FACP, FSVM, RPVI Joshua Gorski, MD Daniel Lachant, DO Scott J. Cameron, MD, PhD, RPVI, FSVM, FACC |
| author_facet | G. Jay Bishop, MD, FACP, FSVM, RPVI Joshua Gorski, MD Daniel Lachant, DO Scott J. Cameron, MD, PhD, RPVI, FSVM, FACC |
| author_sort | G. Jay Bishop, MD, FACP, FSVM, RPVI |
| collection | DOAJ |
| description | A 49-year-old man with progressive dyspnea on exertion and a remote history of syncope presented with hypotension and acute right ventricular failure, and was ultimately diagnosed with acute pulmonary embolism. Laboratory data revealed a prolonged activated partial thromboplastin time, which confounded treatment options. He was ultimately diagnosed with anti-phospholipid syndrome and factor XII deficiency, and underwent a thromboendarterectomy procedure with resolution of right ventricular failure and symptoms. Careful attention to history, initial physical examination manifestations, and clinical data often permit a timely diagnosis of and treatment for chronic thromboembolic pulmonary hypertension. Keywords: Thrombus, Pulmonary embolism, Pulmonary hypertension, CTEPH |
| first_indexed | 2024-12-13T11:08:54Z |
| format | Article |
| id | doaj.art-a52ab3344a4f497fbf067b10f28ae3af |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-13T11:08:54Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-a52ab3344a4f497fbf067b10f28ae3af2022-12-21T23:48:51ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154402405Chronic thromboembolic pulmonary hypertension is a clot you cannot swatG. Jay Bishop, MD, FACP, FSVM, RPVI0Joshua Gorski, MD1Daniel Lachant, DO2Scott J. Cameron, MD, PhD, RPVI, FSVM, FACC3UPMC Heart and Vascular Institute at UPMC Hamot, Erie, Pa; Department of Cardiovascular Medicine, Section of Vascular Medicine, Cleveland Clinic Foundation, Cleveland, OhioDepartment of Medicine, University of Rochester School of Medicine, Rochester, NYDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Rochester School of Medicine, Rochester, NYDepartment of Cardiovascular Medicine, Section of Vascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio; Division of Cardiology, Department of Medicine, University of Rochester School of Medicine, Rochester, NY; Division of Cardiac Surgery, Department of Surgery, University of Rochester School of Medicine, Rochester, NY; Correspondence: Scott J. Cameron, MD, PhD, RPVI, FSVM, FACC, Cleveland Clinic Foundation, Department of Cardiovascular Medicine, Section of Vascular Medicine, J3-5, 9500 Euclid Ave, Cleveland, OH 44195A 49-year-old man with progressive dyspnea on exertion and a remote history of syncope presented with hypotension and acute right ventricular failure, and was ultimately diagnosed with acute pulmonary embolism. Laboratory data revealed a prolonged activated partial thromboplastin time, which confounded treatment options. He was ultimately diagnosed with anti-phospholipid syndrome and factor XII deficiency, and underwent a thromboendarterectomy procedure with resolution of right ventricular failure and symptoms. Careful attention to history, initial physical examination manifestations, and clinical data often permit a timely diagnosis of and treatment for chronic thromboembolic pulmonary hypertension. Keywords: Thrombus, Pulmonary embolism, Pulmonary hypertension, CTEPHhttp://www.sciencedirect.com/science/article/pii/S246842871930098X |
| spellingShingle | G. Jay Bishop, MD, FACP, FSVM, RPVI Joshua Gorski, MD Daniel Lachant, DO Scott J. Cameron, MD, PhD, RPVI, FSVM, FACC Chronic thromboembolic pulmonary hypertension is a clot you cannot swat Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Chronic thromboembolic pulmonary hypertension is a clot you cannot swat |
| title_full | Chronic thromboembolic pulmonary hypertension is a clot you cannot swat |
| title_fullStr | Chronic thromboembolic pulmonary hypertension is a clot you cannot swat |
| title_full_unstemmed | Chronic thromboembolic pulmonary hypertension is a clot you cannot swat |
| title_short | Chronic thromboembolic pulmonary hypertension is a clot you cannot swat |
| title_sort | chronic thromboembolic pulmonary hypertension is a clot you cannot swat |
| url | http://www.sciencedirect.com/science/article/pii/S246842871930098X |
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