[Severe, thromboembolic pulmonary hypertension with recurrent pulmonary embolism and right heart thrombi in a patient with past myocardial infarction, cerebral ischaemic stroke and small intestine necrosis].
Chronic thromboembolic pulmonary hypertension (CTEPH) is a chronic progressive disease of pulmonary circulation characterised by indistinct ethiopathogenesis. We present a case of a 50 year-old male with thrombophilia of unknown origin leading to the formation of multiple thrombi within venous circulation followed by episodes of acute pulmonary embolism resulting ultimately in acute heart failure in the course of developing CTEPH. Unfortunately, despite the wide range of haemostasis laboratory tests we were not able to define the type of coagulation abnormality. Owing to the efficient cooperation between cardiologists and cardiosurgeons it was possible to save patient's life.
II Katedra Kardiologii, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum, Bydgoszcz. robertbujak@wp.pl
Robert
R
Bujak
Jan
J
Błażejewski
Andrzej
A
Biedermann
Władysław
W
Sinkiewicz
Danuta
D
Karasek
Joanna
J
Banach
Małgorzata
M
Dobosiewicz
D000074:Acenocoumarol / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use*; D006348:Cardiac Surgical Procedures / Q000379:methods; D003328:Coronary Thrombosis / Q000188:drug therapy / Q000209:etiology*; D015150:Echocardiography, Doppler / Q000379:methods; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy / Q000209:etiology*; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D009336:Necrosis / Q000150:complications; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D020521:Stroke / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin; D000074:Acenocoumarol