| Autor: |
Tiong H. Kam, James S. Walder, Harry M. Thomas, John W. Shuck |
| Rok vydání: |
1980 |
| Předmět: |
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| Zdroj: |
The American Journal of Medicine. 69:790-794 |
| ISSN: |
0002-9343 |
| DOI: |
10.1016/0002-9343(80)90454-4 |
| Popis: |
Nonresolution of acute pulmonary embolism with resultant chronic persistent pulmonary occlusion is uncommon; documentation of its occurrence in patients receiving anticoagulants is sparse. We report three cases with hemodynamic data and follow-up of up to seven years. All patients had mild to moderate dyspnea on exertion. All patients had normal resting pulmonary artery pressures; two patients demonstrated pulmonary hypertension with exercise. One patient underwent successful thromboendarterectomy but had subsequent reocclusion secondary to in situ thrombosis. With all patients receiving long-term anticoagulant therapy, there was no clinical recurrence of embolization or progression of symptoms. Patients with chronic persistent pulmonary embolism should be identified and should receive long-term follow-up. Therapy aimed at prevention of recurrent embolization is required. Pulmonary thromboendart-erectomy is indicated for selected patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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