Optimal medical therapy and right orchidectomy resulted in complete recovery of severe left ventricular dysfunction and disappearance of pulmonary hypertension within 3 months in a 33-year-old male with pulmonary embolism secondary to a testicular germ cell tumor.
Case Report (n=1)
This case highlights an unusual presentation of severe left ventricular dysfunction associated with cancer-related pulmonary embolism in a young adult, which fully recovered with optimal medical therapy and tumor resection.
BACKGROUND: Cancer associated thrombosis is recognized. However, pulmonary embolism (PE) from testicular cancer is rarely reported. Right ventricular (RV) function and PE are closely related. The RV cannot cope with a sudden increase in afterload because of PE and this causes dysfunction, but isolated left ventricular dysfunction in this context is not reported in the literature. CASE PRESENTATION: We report an unusual association of pulmonary embolism and testicular germ cell tumor complicating severe left heart failure and full recovery at three months follow up in a 33-year-old patient with no prior medical history. The diagnosis was made after comprehensive history taking and physical examination with the help of different imaging modalities. Full recovery was achieved after optimal medical therapy. CONCLUSION: This case raises our awareness of unusual clinical presentation as we report associated left-sided severe heart failure in cancer-related pulmonary embolism. Pulmonary embolism in healthy young adults warrant in-depth causative exploration.
Elenizi et al. (Wed,) conducted a case report in Pulmonary embolism, severe left ventricular dysfunction, testicular germ cell tumor (n=1). Optimal medical therapy and right orchidectomy was evaluated on Recovery of left ventricular function and disappearance of pulmonary hypertension. Optimal medical therapy and right orchidectomy resulted in complete recovery of severe left ventricular dysfunction and disappearance of pulmonary hypertension within 3 months in a 33-year-old male with pulmonary embolism secondary to a testicular germ cell tumor.