Pulmonary hypertension: Tortuous route to diagnosis

A 47 year-old woman, on hemodialysis via an arteriovenous (AV) fistula, was assessed for severe dyspnea and presyncope secondary to pulmonary hypertension. Right heart catheterization confirmed a mean pulmonary arterial pressure of 85 mm Hg. She had a normal wedge pressure. Investigations revealed t...

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Detalles Bibliográficos
Autores principales: Riolo, Giovanna, Al Ghamdi, Bader, D'Arsigny, Christine L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2013
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184637/
https://www.ncbi.nlm.nih.gov/pubmed/25473527
http://dx.doi.org/10.1002/rcr2.5
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author Riolo, Giovanna
Al Ghamdi, Bader
D'Arsigny, Christine L
author_facet Riolo, Giovanna
Al Ghamdi, Bader
D'Arsigny, Christine L
author_sort Riolo, Giovanna
collection PubMed
description A 47 year-old woman, on hemodialysis via an arteriovenous (AV) fistula, was assessed for severe dyspnea and presyncope secondary to pulmonary hypertension. Right heart catheterization confirmed a mean pulmonary arterial pressure of 85 mm Hg. She had a normal wedge pressure. Investigations revealed that the total high cardiac output AV fistula, 8.3 L/min, resulted in pulmonary arteropathy and increased pulmonary vascular resistance at 674 dyne.sec.cm(-5). The AV fistula was banded and Sildenafil was prescribed, which resulted in improvement of pulmonary hypertension within one week.
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spelling pubmed-41846372014-12-03 Pulmonary hypertension: Tortuous route to diagnosis Riolo, Giovanna Al Ghamdi, Bader D'Arsigny, Christine L Respirol Case Rep Case Reports A 47 year-old woman, on hemodialysis via an arteriovenous (AV) fistula, was assessed for severe dyspnea and presyncope secondary to pulmonary hypertension. Right heart catheterization confirmed a mean pulmonary arterial pressure of 85 mm Hg. She had a normal wedge pressure. Investigations revealed that the total high cardiac output AV fistula, 8.3 L/min, resulted in pulmonary arteropathy and increased pulmonary vascular resistance at 674 dyne.sec.cm(-5). The AV fistula was banded and Sildenafil was prescribed, which resulted in improvement of pulmonary hypertension within one week. Blackwell Publishing Ltd 2013-09 2013-08-09 /pmc/articles/PMC4184637/ /pubmed/25473527 http://dx.doi.org/10.1002/rcr2.5 Text en © 2013 The Authors. Respirology Case Reports published by John Wiley & Sons Ltd on behalf of The Asian Pacific Society of Respirology. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Riolo, Giovanna
Al Ghamdi, Bader
D'Arsigny, Christine L
Pulmonary hypertension: Tortuous route to diagnosis
title Pulmonary hypertension: Tortuous route to diagnosis
title_full Pulmonary hypertension: Tortuous route to diagnosis
title_fullStr Pulmonary hypertension: Tortuous route to diagnosis
title_full_unstemmed Pulmonary hypertension: Tortuous route to diagnosis
title_short Pulmonary hypertension: Tortuous route to diagnosis
title_sort pulmonary hypertension: tortuous route to diagnosis
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184637/
https://www.ncbi.nlm.nih.gov/pubmed/25473527
http://dx.doi.org/10.1002/rcr2.5
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AT alghamdibader pulmonaryhypertensiontortuousroutetodiagnosis
AT darsignychristinel pulmonaryhypertensiontortuousroutetodiagnosis

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