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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,...

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Detalles Bibliográficos
Autores principales: Karna, Rahul, Hussain, Rahat, Jyothula, Soma SK
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
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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.
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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
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