Kadiyani Lamk, Karuru Umadevi, Kothari Shyam Sunder, Ramakrishnan Sivasubramanian, Gupta Saurabh Kumar, Devagouru Velayudham, Patel Chetan D
Department of Cardiology, All India Institute of Medical Sciences, Delhi, India.
Department of Cardiac, Thoracic and Vascular Surgery, All India Institute of Medical Sciences, Delhi, India.
JACC Case Rep. 2024 Oct 2;29(19):102569. doi: 10.1016/j.jaccas.2024.102569.
We report a case of pulmonary hypertension in association with right heart thrombus and mediastinal lymphadenopathy leading to the diagnostic dilemma of chronic thromboembolic pulmonary hypertension vs fibrosing mediastinitis despite of extensive noninvasive workup, considering different treatment strategies and therapeutic implications. Surgical findings provided a conclusive diagnosis and excellent prognosis.
我们报告一例伴有右心血栓和纵隔淋巴结肿大的肺动脉高压病例，尽管进行了广泛的无创检查，但仍导致了慢性血栓栓塞性肺动脉高压与纤维性纵隔炎的诊断困境，同时考虑了不同的治疗策略和治疗意义。手术结果提供了确定性诊断和良好的预后。
