A case of Chronic Thromboembolic Pulmonary Hypertension in association with Deep Vein Thrombosis and Pulmonary Embolism: A case report of a young female in Bangladesh

Authors

  • Saurav Das Medical Officer, Department of Cardiology, Chittagong Medical College, Chattogram, Bangladesh
  • Uday Shankar Roy Roy Resident, Phase -A, Internal Medicine, Chittagong Medical College, Chattogram, Bangladesh
  • Umme Maimuna OSD (DGHS), Deputed to Chittagong Medical College, Chattogram, Bangladesh
  • Swarna Paul OSD (DGHS), Deputed to Chittagong Medical College, Chattogram, Bangladesh
  • Anisul Awal Assistant Professor, Depratment of Cardiology, Chittagong Medical College, Chattogram, Bangladesh
  • Asish Dey Associate Professor & Head of Department, Department of Cardiology, Chittagong Medical College, Chattogram, Bangladesh

DOI:

https://doi.org/10.3329/bhj.v38i2.70266

Keywords:

Pulmonary Hypertension, Deep Vein Thrombosis, Pulmonary Embolism

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is classified as Group 4 Pulmonary Hypertension (PH) in current categorization by WHO. The initial suspicion with clinical presentation, then screening with imaging and confirmation with Right heart catheterization (RHC) are the steps of diagnostic algorithm for CTEPH. We report the case of a 35 years old female presented with progressive swelling of left lower limb for 2 months and shortness of breath for 1 and half months. Examination revealed respiratory rate 28 breaths/min, pitting edema of left leg, left parasternal heave and palpable P2. Doppler study of both lower limbs and Computed tomography pulmonary angiography (CTPA ) confirmed the diagnosis of deep vein thrombosis of left leg (DVT) and pulmonary embolism (PE), respectively. The echocardiography suggested presence of pulmonary hypertension. We approached the patient with conservative management and discharged her home, once she improved, with advice of life-long anticoagulation.

Bangladesh Heart Journal 2023; 38(2): 143-147

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Published

2023-12-12

How to Cite

Das, S. ., Roy, U. S. R., Maimuna, U. ., Paul, S. ., Awal, A. ., & Dey, A. . (2023). A case of Chronic Thromboembolic Pulmonary Hypertension in association with Deep Vein Thrombosis and Pulmonary Embolism: A case report of a young female in Bangladesh. Bangladesh Heart Journal, 38(2), 143–147. https://doi.org/10.3329/bhj.v38i2.70266

Issue

Vol. 38 No. 2 (2023)

Section

Case Reports

License

Copyright (c) 2023 Bangladesh Cardiac Society

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© Bangladesh Cardiac Society.  

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Articles in the Bangladesh Heart Journal are Open Access articles published under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC).  This license permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.