SciELO - Scientific Electronic Library Online

vol.133 número5Morbilidad y mortalidad por cáncer oral y faríngeo en ChileDolor torácico y alteración del segmento ST en pacientes con vías accesorias aurículo-ventriculares: Report of three cases índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados


Revista médica de Chile

versión impresa ISSN 0034-9887


CLARO G-A, Juan Carlos; BAUDRAND B, René; BAEZA P, Cristián  y  LETELIER S, Luz María. CT angiography as the diagnostic and decision making method used for surgical indication in pulmonary hypertension due to chronic thromboembolism: Report of one case. Rev. méd. Chile [online]. 2005, vol.133, n.5, pp.565-569. ISSN 0034-9887.

Pulmonary hypertension due to chronic pulmonary thromboembolism is frequently underdiagnosed and has a very poor prognosis if untreated. When the presence of central pulmonary artery thrombus is confirmed, thromboendarterectomy is the treatment of choice, with very good results. We report a 28 years old male with two previous episodes of deep venous thrombosis (DVT) who was admitted due to 8 months of progressive shortness of breath and a syncope. He underwent a CT pulmonary angiogram and an echocardiogram. Severe pulmonary hypertension was confirmed, secondary to a chronic pulmonary thromboembolism with an overlapped acute component. He received systemic thrombolysis with partial thrombus disappearance. Therefore a pulmonary thromboendarterectomy was performed and an inferior vena cava filter was placed. The patient was discharged with marked improvement in his functional capacity

Palabras clave : Angiography, digital substraction; Endarterectomy; Pulmonary embolism; Tomography, X-ray computed.

        · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons