Chong Timothy, Park Joseph, Aslam Hafiz M, Ansari Shahryar, Wallach Sara L
Internal Medicine, Drexel College of Medicine, Philadelphia, USA.
Hematology and Medical Oncology, East Carolina University, Greenville, USA.
Cureus. 2020 Dec 3;12(12):e11877. doi: 10.7759/cureus.11877.
A rare cause of acute decompensated pulmonary hypertension is pulmonary tumor embolism (PTE), which is an uncommon complication of advanced lung malignancy. Patients diagnosed with PTE typically have a poor prognosis, and so patients with advanced lung tumors who present with signs of right heart failure and respiratory support should be evaluated for PTE. We present a case of a 54-year-old Hispanic female who initially presented with a one-month history of dysphagia, who was found to have acute pulmonary hypertension secondary to invasion of the pulmonary arteries by lung adenocarcinoma.
急性失代偿性肺动脉高压的一个罕见病因是肺肿瘤栓塞(PTE),它是晚期肺癌的一种不常见并发症。被诊断为PTE的患者通常预后较差,因此,出现右心衰竭体征且需要呼吸支持的晚期肺肿瘤患者应接受PTE评估。我们报告一例54岁西班牙裔女性病例,该患者最初表现为有1个月的吞咽困难病史,经检查发现患有因肺腺癌侵犯肺动脉继发的急性肺动脉高压。