Chest
Clinical InvestigationsBalloon Angioplasty in the Treatment of Pulmonary Hypertension Caused by Pulmonary Embolism
Section snippets
CASE REPORT
A 30-year-old man was referred to our hospital for complete evaluation. At 25 years of age he had been treated by a physiotherapist for pain in the upper right leg. Shortly afterwards he became increasingly dyspneic. A diagnosis of pulmonary embolism was confirmed by pulmonary perfusion scintigraphy and treatment with warfarin was started. He continued to experience moderate exertional dyspnea (functional class 2). The patient had been a cigarette smoker for many years and at the time of
DISCUSSION
In the majority of cases, pulmonary embolism does not lead to significant long-term changes in pulmonary artery pressure. Most of the embolic material is dissolved by the fibrinolytic system, and after about three months no remnants of emboli are found.1, 2, 3, 4, 5, 6, 7 Sometimes—especially after recurring embolism—the fibrinolytic system is exhausted and not all emboli can be cleared. Thrombi that are already organized before they embolize are also likely to remain in the pulmonary vascular
REFERENCES (24)
- et al.
The clinical profile of unresolved pulmonary embolism
Chest
(1983) - et al.
Surgical treatment of chronic unresolved pulmonary embolism
Clin Chest Med
(1984) - et al.
Pulmonary embolectomy: review and current status
Prog Cardiovasc Dis
(1975) - et al.
Longterm follow-up of patients with pulmonary thromboembolism. Late prognosis and evolution of hemodynamic and respiratory data
Chest
(1982) - et al.
Surgical correction of chronic postembolic obstructions of the pulmonary arteries
J Thorac Cardiovasc Surg
(1978) - et al.
Surgical management of chronic pulmonary embolism. Surgical treatment and late results
J Thorac Cardiovasc Surg
(1980) - et al.
Chronic thromboembolic occlusion of main pulmonary artery or primary branches. Case report and review of the literature
Am J Med
(1976) - et al.
Peripheral pulmonary artery stenosis secondary to chronic pulmonary thromboembolic disease
Am J Cardiol
(1970) - et al.
Pulmonary reperfusion syndrome
Ann Thorac Surg
(1979) - et al.
Long-term prognosis of treated acute massive pulmonary embolism
Br Heart J
(1977)
Subacute massive pulmonary embolism
Br Heart J
Pulmonary arterial bands and webs: an unrecognized manifestation of organized pulmonary emboli
Am J Pathol
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Manuscript received February 19; revision accepted April 29.