CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION

The work purpose — to describe a clinical case of formation and a current of a chronic thromboembolic pulmonary hypertensia (CTEPH) at the patient of young age. Materials and methods. The patient P., 26 years, arrived with complaints to the dyspnea arising at rest and amplifying at the minimum exerc...

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Main Authors: N. A. Kosheleva, K. A. Gamayunova
Format: Article
Language:Russian
Published: SINAPS LLC 2018-03-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/772
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author N. A. Kosheleva
K. A. Gamayunova
author_facet N. A. Kosheleva
K. A. Gamayunova
author_sort N. A. Kosheleva
collection DOAJ
description The work purpose — to describe a clinical case of formation and a current of a chronic thromboembolic pulmonary hypertensia (CTEPH) at the patient of young age. Materials and methods. The patient P., 26 years, arrived with complaints to the dyspnea arising at rest and amplifying at the minimum exercise stress, edemas of the lower extremities. In the anamnesis — a clottage of subclavial and humeral veins on the right, recurrent PTE. Results. During inspection at the patient an echocardiography signs of a pulmonary hypertensia. According to contrast-enhanced multislice computed tomography in dynamics there was a dissolution of thrombs in a lumen of a pulmonary artery. At the patient data for a thrombophilia or a systemic vasculitis aren’t taped. Conclusion. In this clinical case features of a current and maintaining the patient of young age with CTEPH after the postponed PTE are displayed. The young age, idiopathic and recurrent character of a pulmonary embolism were the contributing risk factors of development of CTEPH.
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spelling doaj-art-064e7fa3a5374355bfb024f2161648e12025-08-20T03:37:54ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642018-03-018214614910.20514/2226-6704-2018-8-2-146-149668CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATIONN. A. Kosheleva0K. A. Gamayunova1State Educational Institution of High Professional Education «Saratov State Medical University n.a. V.I. Razumovsky»; State healthcare facility «Saratov Regional Clinical Hospital» of Ministry of Health and Social Development of Saratov RegionState Educational Institution of High Professional Education «Saratov State Medical University n.a. V.I. Razumovsky»The work purpose — to describe a clinical case of formation and a current of a chronic thromboembolic pulmonary hypertensia (CTEPH) at the patient of young age. Materials and methods. The patient P., 26 years, arrived with complaints to the dyspnea arising at rest and amplifying at the minimum exercise stress, edemas of the lower extremities. In the anamnesis — a clottage of subclavial and humeral veins on the right, recurrent PTE. Results. During inspection at the patient an echocardiography signs of a pulmonary hypertensia. According to contrast-enhanced multislice computed tomography in dynamics there was a dissolution of thrombs in a lumen of a pulmonary artery. At the patient data for a thrombophilia or a systemic vasculitis aren’t taped. Conclusion. In this clinical case features of a current and maintaining the patient of young age with CTEPH after the postponed PTE are displayed. The young age, idiopathic and recurrent character of a pulmonary embolism were the contributing risk factors of development of CTEPH.https://www.medarhive.ru/jour/article/view/772thromboembolism of a pulmonary arterychronic thromboembolic pulmonary hypertensia
spellingShingle N. A. Kosheleva
K. A. Gamayunova
CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION
Архивъ внутренней медицины
thromboembolism of a pulmonary artery
chronic thromboembolic pulmonary hypertensia
title CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION
title_full CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION
title_fullStr CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION
title_full_unstemmed CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION
title_short CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSIA AT THE YOUNG PATIENT. CLINICAL OBSERVATION
title_sort chronic thromboembolic pulmonary hypertensia at the young patient clinical observation
topic thromboembolism of a pulmonary artery
chronic thromboembolic pulmonary hypertensia
url https://www.medarhive.ru/jour/article/view/772
work_keys_str_mv AT nakosheleva chronicthromboembolicpulmonaryhypertensiaattheyoungpatientclinicalobservation
AT kagamayunova chronicthromboembolicpulmonaryhypertensiaattheyoungpatientclinicalobservation