[Severe right ventricular hypertension secondary to metastatic obstruction due to hepatocarcinoma].
Right ventricular hypertension (RVH) is an entity that could be expected in various cardiopulmonary diseases. Mechanical obstruction to the right ventricle outflow tract is a cause of RVH. We present the case of a 69 year-old male with a history of hepatocarcinoma previously treated. The developed RVH due to mechanical obstruction secondary to metastatic infiltration of the right ventricle. The clinical syndrome was characterized by systemic venous hypertension. Non-invasive studies, such as electrocardiogram and computed tomography scan limited the metastasis to the right ventricle; the diagnosis was confirmed by cardio-angiography and endocardial biopsy. The studies did not demonstrate neoplastic activity at any other level.
Santos Martínez
Luis Efren
LE
Departamento de Cardioneumología, Instituto Nacional de Cardiología, Ignacio Chávez, Tlalpan, México. sanlui@cardiologia.org.mx
Martínez Reding
Jesús
J
Alfaro
Jorge Kuri
JK
Gotés
José
J
Aranda
Alberto
A
Zúñiga
Miguel
M
Bautista
Edgar
E
Pulido
Tomás
T
Carrillo
Arturo
A
García
Norberto
N
Castañón
Alicia
A
Sandoval
Julio
J
D000368:Aged; D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000556:secondary*; D006328:Cardiac Catheterization; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D013902:Radiography, Thoracic; D018497:Ventricular Dysfunction, Right / Q000000981:diagnostic imaging / Q000473:pathology; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000473:pathology