title: Chronic thromboembolic pulmonary hypertension with pulmonary infarction occuring in a hypertensive.
abstract: We present a 72-year-old man and a known hypertensive with poor drug compliance seen here on 22-03-06, with a 4-year history of progressive dyspnoea, associated with cough and a wheeze. On examination he was chronically ill looking with altered state of consciousness, pale, centrally cyanosed, febrile (T-38 degrees C), in respiratory distress (RR-33 pm). Significant chest radiological findings include marked aortic unfolding and cardiomegaly, with biventricular involvement. Numerous nodular opacities in both lung fields especially the Right side with right apical opacification/thickening. Treatment as appropriate was instituted but unfortunately the patient succumbed after thirty days on admission and an autopsy carried out revealed multiple pulmonary infarcts with pulmonary thrombo-embolism.
authors.affiliation: Department of Morbid Anatomy University of Nigeria Teaching Hospital Enugu State, Nigeria.
authors.forename: I
authors.initials: I
authors.lastname: Ulasi
authors.forename: M A
authors.initials: MA
authors.lastname: Nzegwu
authors.forename: O
authors.initials: O
authors.lastname: Okafor
authors.forename: D B
authors.initials: DB
authors.lastname: Olusina
authors.forename: C
authors.initials: C
authors.lastname: Maduechesi
authors.forename: C C
authors.initials: CC
authors.lastname: Eluke
authors.forename: C
authors.initials: C
authors.lastname: Chukwuka
mesh_terms: D000368:Aged; D002908:Chronic Disease; D018450:Disease Progression; D004417:Dyspnea / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000473:pathology*; D008297:Male; D054060:Pulmonary Infarction / Q000150:complications / Q000473:pathology*; D013923:Thromboembolism / Q000150:complications / Q000473:pathology*