title: [Dynamic ECG changes after thromboendarterectomy in a patient with chronic thromboembolic pulmonary hypertension and C protein deficiency].
abstract: A case of a 44-year-old-man with chronic thromboembolic pulmonary hypertension (PH) and C-protein deficiency, with a history of previous acute pulmonary embolism is presented. The ECG showed negative T waves in leads: II, III, aVF and V(1)-V(6). The follow-up echocardiography revealed severe PH with the right ventricular systolic pressure (RVSP) - 95-100 mm Hg, markedly enlarged right ventricular end-diastolic diameter (RVEDD), and decreased left ventricular end-diastolic diameter (LVEDD). The patient was in NYHA III/IV class. He was referred for pulmonary thromboendarterectomy. Three months after thromboendarterectomy echocardiography showed marked reduction of RVEDD, increased LVEDD, RVSP - 50-55 mm Hg. The 3 months follow-up ECG showed normalisation to positive T waves. The patient was in NYHA class I and he stayed on the anticoagulation therapy.
authors: Oddział Internistyczno-Kardiologiczny, Szpital Specjalistyczny, Gorlice. kukla_piotr@poczta.onet.pl
authors: Piotr
authors: P
authors: Kukla
authors: Marek
authors: M
authors: Jastrzębski
authors: Wojciech
authors: W
authors: Kurdzielewicz
mesh_terms: D000328:Adult; D002908:Chronic Disease; D004452:Echocardiography; D004562:Electrocardiography; D004691:Endarterectomy; D005500:Follow-Up Studies; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008297:Male; D011488:Protein Deficiency / Q000150:complications*; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome