Key result
Case report details chronic thrombotic pulmonary vascular lesions developing 3 years post-acute PE.
Why the study?
The development of chronic thrombotic pulmonary vascular lesions after acute pulmonary embolism in the presence of typical risk factors is illustrated by this case.
Case Report (n=1)
This case illustrates the potential for developing chronic thromboembolic pulmonary hypertension within 3 years after an acute pulmonary embolism despite initial DOAC therapy.
Answers are grounded in this paper and cite their sources.
May warrant closer post-PE surveillance for early chronic lesions; leaves open need for prospective studies on risk factors and prevention.
A 61-year-old male presented with New York Heart Association class II breathlessness. Three years earlier, he had presented with a swollen leg, had received a diagnosis of deep vein thrombosis on ultrasound and of low-risk acute pulmonary embolism, and had been discharged on a direct oral anticoagulant after 8 hours. The patient also had a history of thyroidectomy and was on levothyroxine substitution. The case illustrates a patient with acute pulmonary embolism who developed chronic thrombotic pulmonary vascular lesions within 3 years after acute pulmonary embolism in the presence of typical risk factors.
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Lang et al. (2023) conducted a case report in Acute pulmonary embolism (n=1). Acute pulmonary embolism was evaluated on Development of chronic thrombotic pulmonary vascular lesions. A 61-year-old male developed chronic thrombotic pulmonary vascular lesions within 3 years after an acute pulmonary embolism in the presence of typical risk factors.
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