Correale Michele, Fortunato Martino, Magnesa Michele, Varricchione Giuseppe, Campanale Giulio, Gravina Matteo, Di Biase Matteo, Daniele Brunetti Natale
Cardiology Department, Ospedali Riuniti University Hospital, Foggia, Italy.
Department of Medical & Surgical Sciences, University of Foggia, Foggia, Italy.
Pulm Circ. 2020 Nov 19;10(4):2045894020951667. doi: 10.1177/2045894020951667. eCollection 2020 Oct-Dec.
We report the case of 63-year-old man, complaining of dyspnea and with abnormal systolic motion of the interventricular septum at echocardiography, referred for coronary angiography and suspect coronary artery disease. In the presence of normal coronary angio, a specific work-up showed chronic thromboembolic pulmonary hypertension requiring pulmonary endarterectomy. The case highlights the need for a global cardiovascular and imaging approach in presence of poorly specific symptoms and signs of coronary artery disease.
我们报告了一例63岁男性病例，该患者主诉呼吸困难，超声心动图显示室间隔收缩运动异常，因怀疑冠状动脉疾病而接受冠状动脉造影检查。在冠状动脉造影正常的情况下，进一步的详细检查显示为慢性血栓栓塞性肺动脉高压，需要进行肺动脉内膜剥脱术。该病例强调了在出现特异性较差的冠状动脉疾病症状和体征时，需要采用全面的心血管和影像学检查方法。
