Document Detail

Long-term severe pulmonary hypertension associated with right atrial myxoma.
MedLine Citation:
PMID:  1623775     Owner:  NLM     Status:  MEDLINE    
An 18-year-old black woman presented with marginally compensated right heart failure, severe pulmonary hypertension, tricuspid incompetence, and right atrial myxoma. Catheterization suggested a substantial reactive component to her P-HTN, especially to nifedipine. Initial management consisted of excision of two right atrial myxomas and tricuspid annuloplasty, and postdischarge management with nifedipine, 30 mg four times daily. Emergency pulmonary thromboendarterectomy was required two weeks later for acute cor pulmonale. It is suggested that concomitant procedures are mandatory in this setting because of the otherwise accelerated adverse pathophysiology of obliterative pulmonary vascular obstructive disease.
H A Heck; C M Gross; J L Houghton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  102     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-08-07     Completed Date:  1992-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  301-3     Citation Subset:  AIM; IM    
Section of Thoracic Surgery, Medical College of Georgia, Augusta 30912-4040.
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MeSH Terms
Heart Atria / surgery
Heart Neoplasms / complications*,  pathology,  surgery
Hypertension, Pulmonary / etiology*
Myxoma / complications*,  pathology,  surgery
Postoperative Complications
Pulmonary Artery / pathology,  radiography,  surgery
Pulmonary Embolism / complications,  etiology,  therapy
Pulmonary Heart Disease / etiology
Tissue Plasminogen Activator / therapeutic use
Reg. No./Substance:
EC Plasminogen Activator

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