Key result
Lung adenocarcinoma microembolism causes fatal severe PH and RV failure in a 43-year-old female.
Case Report (n=1)
Carcinomatous microembolism from lung adenocarcinoma can present as subacute severe pulmonary hypertension and cardiogenic shock leading to rapid clinical deterioration and death.
Alerts clinicians to tumor microembolism in unexplained subacute cor pulmonale; leaves open its incidence and diagnostic strategies in adenocarcinoma.
A 43 year old female was admitted to hospital with severe pulmonary hypertension and cardiogenic shock. She had a two week history of dyspnea only. Resuscitative measures proved unsuccessful and she died ten hours after admission. Post mortem examination indicated that the pulmonary hypertension and right ventricular failure were due to endarteritis secondary to widespread carcinomatous microembolism from adenocarcinoma of the lung.
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Raper et al. (1984) conducted a case report in Severe pulmonary hypertension and cardiogenic shock (n=1). Carcinomatous microembolism from adenocarcinoma of the lung was evaluated on Death and post mortem findings. A 43-year-old female died from severe pulmonary hypertension and right ventricular failure caused by endarteritis secondary to widespread carcinomatous microembolism from lung adenocarcinoma.
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