Quinson P, Lagable M, Mornex J F, Jegaden O, Thévenet F, Milon H
Service de cardiologie, hôpital de la Croix-Rousse, Lyon.
Arch Mal Coeur Vaiss. 1994 Feb;87(2):287-90.
The authors report the case of a 25 year old man with unexplained pulmonary hypertension during his first hospital admission. However, a past medical history suggesting right arm vein thrombosis was obtained. Venography showed signs of thoraco-brachial compression. After heart-lung transplantation, pathological studies of the explanted organs showed changes of thrombo-embolic pulmonary hypertension. A spontaneous right arm venous thrombosis occurred during convalescence. The possibility of post-embolic pulmonary hypertension caused by venous thrombosis of the upper limbs is discussed.
作者报告了一名25岁男性患者的病例，该患者首次入院时患有不明原因的肺动脉高压。然而，了解到其既往病史提示右臂静脉血栓形成。静脉造影显示有胸臂受压迹象。心肺移植后，对切除器官的病理研究显示有血栓栓塞性肺动脉高压的改变。康复期间发生了自发性右臂静脉血栓形成。本文讨论了上肢静脉血栓形成导致栓塞后肺动脉高压的可能性。
