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Case Reports
. 2007 Dec 27:5:50.
doi: 10.1186/1476-7120-5-50.

Should right ventricle dilatation during exercise have clinical implications in patients with chronic thromboembolic pulmonary hypertension? Case report

Carlos Cotrim  1 , Maria J Loureiro, Rita Miranda, Sofia Almeida, Ana R Almeida, Otília Simões, Pedro Cordeiro, Manuel Carrageta
Affiliations
Case Reports

Should right ventricle dilatation during exercise have clinical implications in patients with chronic thromboembolic pulmonary hypertension? Case report

Carlos Cotrim et al. Cardiovasc Ultrasound. .

Abstract

We describe the case of a 30-year-old female patient with chronic thromboembolic pulmonary hypertension that has an excellent functional capacity under treatment with sildenafil. She did an exercise stress echocardiography that revealed marked right ventricular dilatation during exercise. This information was used for clinical decision and the authors discuss the potential utility of this echocardiographyc sign.

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Figures

Figure 1
Figure 1
Short axis view before exercise showing normal eccentricity index of left ventricle and normal pulmonary artery pressure.
Figure 2
Figure 2
Short axis view at peak exercise showing alteration of eccentricity index of left ventricle, dilatation of right ventricle and severe pulmonary hypertension.
Figure 3
Figure 3
Short axis view shortly after exercise with normal dimensions and morphology of left and right ventricle.
See this image and copyright information in PMC

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References

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