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Improvement after angioplasty and stenting of pulmonary arteries due to sarcoid mediastinal fibrosis
- Source :
- Heart, lungcirculation. 18(3)
- Publication Year :
- 2007
-
Abstract
- We describe a series of cases referred to our institution with working diagnoses of chronic thrombo-embolic pulmonary hypertension (CTEPH) for consideration of surgical pulmonary thrombo-endarterectomy (PTE). Investigations in two cases revealed extrinsic compression of the pulmonary arteries from massive mediastinal lymphadenopathy (mediastinal fibrosis) due to underlying sarcoidosis. Angioplasty and stenting of the pulmonary arteries were performed in all cases with sustained haemodynamic and functional improvement. This highlights the value of new imaging modalities in delineating causes of pulmonary hypertension, and demonstrates an interventional approach for selected cases.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Mediastinal lymphadenopathy
Sarcoidosis
medicine.medical_treatment
Hypertension, Pulmonary
Hemodynamics
Pulmonary Artery
Balloon
Extrinsic compression
Mediastinal fibrosis
Internal medicine
Angioplasty
Mediastinal Diseases
Medicine
Humans
Aged
business.industry
medicine.disease
Pulmonary hypertension
Cardiology
Stents
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Angioplasty, Balloon
Subjects
Details
- ISSN :
- 14442892
- Volume :
- 18
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Heart, lungcirculation
- Accession number :
- edsair.doi.dedup.....5dc82e7da5a3c4e81390e38c7bb29bbd