Severe right ventricular hypertension secondary to metastatic obstruction due to hepatocarcinoma

Luis Efrén Santos Martínez; Jesús Martínez Reding; Jorge Kuri Alfaro; José Gotes; Alberto Aranda; Miguel Zúñiga; Edgar Bautista; Tomas Pulido; Arturo Carrillo; Norberto García; Alicia Castañón; Julio Sandoval

2005, Number 2

Arch Cardiol Mex 2005; 75 (2)

Severe right ventricular hypertension secondary to metastatic obstruction due to hepatocarcinoma

Santos MLE, Martínez RJ, Kuri AJ, Gotés J, Aranda A, Zúñiga M, Bautista E, Pulido T, Carrillo A, García N, Castañón A, Sandoval J

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Language: Spanish
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ABSTRACT

Right ventricular hypertension (RVH) is an entity that could be expected in various cardiopulmonary diseases. Mechanical obstruction to the right ventricle outflow tract is a cause of RVH. We present the case of a 69 year-old male with a history of hepatocarcinoma previously treated. The developed RVH due to mechanical obstruction secondary to metastatic infiltration of the right ventricle. The clinical syndrome was characterized by systemic venous hypertension. Non-invasive studies, such as electrocardiogram and computed tomography scan limited the metastasis to the right ventricle; the diagnosis was confirmed by cardio-angiography and endocardial biopsy. The studies did not demonstrate neoplastic activity at any other level.

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