A 67-year-old woman with a past history of hypertension and type 1 diabetes mellitus,
complicated by ischaemic heart disease, retinopathy and nephropathy, presented with
several months of worsening dyspnoea and clinical signs of right heart failure. Transthoracic
echocardiogram (TTE) showed normal left ventricular systolic function with a restrictive
pattern of diastolic filling, a mildly dilated right ventricle with mild systolic
impairment and a moderately elevated estimated pulmonary arterial pressure of 67 mmHg. Ventilation-perfusion imaging showed extensive, unmatched, non-segmental loss
of perfusion bilaterally. This may have indicated multiple pulmonary emboli but due
to the non-segmental pattern other aetiologies such as pulmonary hypertension could
not be excluded.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart, Lung and CirculationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Papillary fibroelastoma: Increasing recognition of a surgical disease.Ann Thorac Surg. 1999; 68: 1881-1885
- Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases.Am Heart J. 2003; 146: 404-410
Article info
Publication history
Accepted:
June 16,
2008
Identification
Copyright
© 2008 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
