Chronic thromboembolic pulmonary hypertension with pulmonary infarction occuring in a hypertensive

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, febri...

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Published inNigerian journal of medicine Vol. 20; no. 3; pp. 383 - 386
Main Authors Ulasi, I, Nzegwu, M A, Okafor, O, Olusina, D B, Maduechesi, C, Eluke, C C, Chukwuka, C
Format Journal Article
LanguageEnglish
Published Nigeria 01.07.2011
Subjects
Aged
Chronic Disease
Disease Progression
Dyspnea - etiology
Fatal Outcome
Humans
Hypertension, Pulmonary - complications
Hypertension, Pulmonary - pathology
Male
Pulmonary Infarction - complications
Pulmonary Infarction - pathology
Thromboembolism - complications
Thromboembolism - pathology
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Summary: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.
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ISSN:1115-2613