title: [Severe right ventricular hypertension secondary to metastatic obstruction due to hepatocarcinoma].
abstract: 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.
authors.affiliation: Departamento de Cardioneumología, Instituto Nacional de Cardiología, Ignacio Chávez, Tlalpan, México. sanlui@cardiologia.org.mx
authors.forename: Luis Efren
authors.initials: LE
authors.lastname: Santos Martínez
authors.forename: Jesús
authors.initials: J
authors.lastname: Martínez Reding
authors.forename: Jorge Kuri
authors.initials: JK
authors.lastname: Alfaro
authors.forename: José
authors.initials: J
authors.lastname: Gotés
authors.forename: Alberto
authors.initials: A
authors.lastname: Aranda
authors.forename: Miguel
authors.initials: M
authors.lastname: Zúñiga
authors.forename: Edgar
authors.initials: E
authors.lastname: Bautista
authors.forename: Tomás
authors.initials: T
authors.lastname: Pulido
authors.forename: Arturo
authors.initials: A
authors.lastname: Carrillo
authors.forename: Norberto
authors.initials: N
authors.lastname: García
authors.forename: Alicia
authors.initials: A
authors.lastname: Castañón
authors.forename: Julio
authors.initials: J
authors.lastname: Sandoval
mesh_terms: 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