Chronic thromboembolic pulmonary hypertension in young woman with history of caesarian section

  • Nitia A. Asbarinsyah Department of Cardiology and Vascular, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Rarsari S. Soerarso Department of Cardiology and Vascular, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Nani Hersunarti Department of Cardiology and Vascular, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Bambang B. Siswanto Department of Cardiology and Vascular, Faculty of Medicine, Universitas Indonesia, Jakarta
Keywords: CTEPH, CTPA, lung perfusion scan, oral anticoagulant, pulmonary hypertension

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is one of subgroups of pulmonary hypertension. This is a serious medical condition that severely under diagnosed. CTEPH is commonly underdiagnosed due to non specific symptoms and lack of diagnostic tools. The aim of this presentation is to discuss the etiology, risk factors, diagnosis and management of CTEPH. A 36-year-old woman presented with easily fatigue and dyspneu on effort since two years ago. The symptom occured about three months after she gave birth with caesarian section due to preeclampsia. Further history taking, physical examination, electrocardiography (ECG) and echocardiography were highly suggestive of pulmonary hypertension. No deep vein thrombosis (DVT) was found on vascular femoral sonography. It was found after the lung perfusion scintigraphy performed that she actually had CTEPH. This patient was categorized as inoperable because CT pulmonary angiography showed no thrombus. The patient got pulmonary vasodilator and oral anticoagulant for lifelong.

Author Biography

Nitia A. Asbarinsyah, Department of Cardiology and Vascular, Faculty of Medicine, Universitas Indonesia, Jakarta
Resident in Department of Cardiology and Vascular medicine, Faculty of Medicine, Universitas Indonesia.

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Published
2015-01-27
How to Cite
1.
Asbarinsyah NA, Soerarso RS, Hersunarti N, Siswanto BB. Chronic thromboembolic pulmonary hypertension in young woman with history of caesarian section. Med J Indones [Internet]. 2015Jan.27 [cited 2024Feb.22];23(4):232-8. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1067
Section
Case Report/Series