Breathless: a case of pulmonary tumor thrombotic microangiopathy?

被引：0

作者：

Henderson, S. ^{[1
]}

de Nie, K. ^{[2
]}

Hamoen, E. ^{[2
]}

Maas, J. ^{[1
]}

Speet, L. ^{[3
]}

机构：

[1] Leiden Univ, Med Ctr, Dept Intens Care Med, Leiden, Netherlands

[2] Leiden Univ, Med Ctr, Dept Internal Med, Leiden, Netherlands

[3] Leiden Univ, Med Ctr, Dept Pathol, Leiden, Netherlands

来源：

NETHERLANDS JOURNAL OF CRITICAL CARE | 2018年 / 26卷 / 05期

关键词：

pulmonary hypertension; pulmonary tumor thrombotic microangiopathy;

D O I：

暂无

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Pulmonary hypertension (PHT) in the ICU is mostly seen in cardiac surgery patients, in patients with acute respiratory distress syndrome or pulmonary embolism. However, there is a broad differential diagnosis. In this case report we present a patient, who rapidly developed PHT with right sided heart failure and who was unresponsive to medical therapy. The diagnosis of "Pulmonary Tumor Thrombotic Microangiopathy (PTTM)" was suspected. PTTM is a fatal, cancer-related pulmonary complication, characterized by progressive dyspnoea, pulmonary hypertension and right-sided heart failure.

引用

页码：198 / 200

页数：3

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