• Med Clin Barcelona · Apr 1996

    Review Case Reports

    [Pulmonary thromboendarterectomy in a patient with primary antiphospholipid syndrome].

    • E Cucurull, J Ordi Ros, M Murtra, L Mellibovsky, R Orriols, and M Vilardell.
    • Servicio de Medicina Interna, Hospital General Universitari Vall d'Hebron, Barcelona.
    • Med Clin Barcelona. 1996 Apr 6;106(13):498-500.

    AbstractPulmonary arterial hypertension (PAH) is an infrequent manifestation of the primary antiphospholipid syndrome (PAPS). It may appear due to different mechanisms although the most common cause is recurrent pulmonary embolisms. In some cases the thrombi do not dissolve and organize to form fibrous masses which occlude the pulmonary veins giving place to chronic thromboembolic pulmonary hypertension. When the thrombi are located in the proximal arteries, thromboendarterectomy may be curative. The first case of a patient with PAPS diagnosed with PAH secondary to chronic thrombosis of the proximal pulmonary arteries, in whom a successful pulmonary thromboendarterectomy was performed is herein reported.

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