Chronic thromboembolic pulmonary hypertension and vascular transformation of the lymph node sinuses

Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease often not recognized until it is far advanced. Medical management does not reverse the effects of the disease, nor does it prevent its progression. Pulmonary thromboendarterectomy is the preferred treatment. We present the case of a...

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Veröffentlicht in:The European respiratory journal 1997-05, Vol.10 (5), p.1191-1193
Hauptverfasser: Meysman, M, Diltoer, M, Raeve, HD, Monsieur, I, Huyghens, L
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container_end_page 1193
container_issue 5
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container_title The European respiratory journal
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creator Meysman, M
Diltoer, M
Raeve, HD
Monsieur, I
Huyghens, L
description Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease often not recognized until it is far advanced. Medical management does not reverse the effects of the disease, nor does it prevent its progression. Pulmonary thromboendarterectomy is the preferred treatment. We present the case of a patient in whom CTEPH was mistaken for an interstitial lung disease with mediastinal lymph node enlargement. The mediastinal lymph node enlargement was due to vascular transformation of the lymph node sinuses (VTS). This is an unusual case of chronic thromboembolic pulmonary hypertension with vascular transformation of the lymph node sinuses.
doi_str_mv 10.1183/09031936.97.10051191
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subjects Adult
Biological and medical sciences
Chronic Disease
Diagnosis, Differential
Humans
Hypertension, Pulmonary - diagnosis
Hypertension, Pulmonary - etiology
Lung Diseases, Interstitial - diagnosis
Lymph Nodes - blood supply
Lymph Nodes - pathology
Male
Medical sciences
Pneumology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Thromboembolism - diagnosis
Vascular Diseases - pathology
title Chronic thromboembolic pulmonary hypertension and vascular transformation of the lymph node sinuses
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