Pulmonary Tumor Thrombotic Microangiopathy: An Often Missed Antemortem Diagnosis.

Archives of Pathology & Laboratory Medicine | February 1, 2001| | Copyright

An Often Missed Antemortem Diagnosis

A 34-year-old white man with a history of smoking and primary pulmonary hypertension" presented with upper abdominal fullness and increasing dyspnea. Physical examination showed signs of cardiac dysfunction, including sinus tachycardia, distended jugular veins, hepatomegaly, and clubbing of the fingers. Increased bilateral interstitial markings with prominent pulmonary arteries were observed on a chest radiograph. Cardiac catheterization revealed pulmonary hypertension with a mean pulmonary arterial pressure of 62 mm Hg and a ...

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