Cargando…
Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery
Severe pulmonary hypertension (PH) in obese patients pose a challenge to treat despite advances in medical therapeutics. Current treatment options are limited for patients who are not responding to maximal medical therapy. Here, we present a case of multifactorial PH, not responsive to ambrisentan,...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8614610/ https://www.ncbi.nlm.nih.gov/pubmed/34747741 http://dx.doi.org/10.4103/lungindia.lungindia_76_21 |
_version_ | 1784603903386451968 |
---|---|
author | Karna, Rahul Hussain, Rahat Jyothula, Soma SK |
author_facet | Karna, Rahul Hussain, Rahat Jyothula, Soma SK |
author_sort | Karna, Rahul |
collection | PubMed |
description | Severe pulmonary hypertension (PH) in obese patients pose a challenge to treat despite advances in medical therapeutics. Current treatment options are limited for patients who are not responding to maximal medical therapy. Here, we present a case of multifactorial PH, not responsive to ambrisentan, tadalafil, and treprostinil, even after optimization of cardiac and pulmonary function and had a poor prognosis. She demonstrated weight loss after bariatric surgery, improving her restrictive lung disease, obstructive sleep apnea and PH, and overall functionality. Bariatric surgery may offer a potential therapeutic option, in patients with morbid obesity and PH resistant to maximal medical therapy. |
format | Online Article Text |
id | pubmed-8614610 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-86146102021-12-13 Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery Karna, Rahul Hussain, Rahat Jyothula, Soma SK Lung India Case Report Severe pulmonary hypertension (PH) in obese patients pose a challenge to treat despite advances in medical therapeutics. Current treatment options are limited for patients who are not responding to maximal medical therapy. Here, we present a case of multifactorial PH, not responsive to ambrisentan, tadalafil, and treprostinil, even after optimization of cardiac and pulmonary function and had a poor prognosis. She demonstrated weight loss after bariatric surgery, improving her restrictive lung disease, obstructive sleep apnea and PH, and overall functionality. Bariatric surgery may offer a potential therapeutic option, in patients with morbid obesity and PH resistant to maximal medical therapy. Wolters Kluwer - Medknow 2021 2021-10-26 /pmc/articles/PMC8614610/ /pubmed/34747741 http://dx.doi.org/10.4103/lungindia.lungindia_76_21 Text en Copyright: © 2021 Indian Chest Society https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Karna, Rahul Hussain, Rahat Jyothula, Soma SK Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
title | Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
title_full | Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
title_fullStr | Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
title_full_unstemmed | Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
title_short | Clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
title_sort | clinical and functional recovery in a patient with pulmonary hypertension after bariatric surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8614610/ https://www.ncbi.nlm.nih.gov/pubmed/34747741 http://dx.doi.org/10.4103/lungindia.lungindia_76_21 |
work_keys_str_mv | AT karnarahul clinicalandfunctionalrecoveryinapatientwithpulmonaryhypertensionafterbariatricsurgery AT hussainrahat clinicalandfunctionalrecoveryinapatientwithpulmonaryhypertensionafterbariatricsurgery AT jyothulasomask clinicalandfunctionalrecoveryinapatientwithpulmonaryhypertensionafterbariatricsurgery |