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Case Reports
. 2017 Jan;32(1):190-194.
doi: 10.3904/kjim.2015.107. Epub 2016 Feb 3.

Acute cor pulmonale due to pulmonary tumor thrombotic microangiopathy in two patients with breast cancer

Sung Young Moon  1 , Kang Hoon Lee  1 , Jong Sik Lee  1 , Hyun Suk Yang  1 , Hong Ghi Lee  1 , Yo Han Cho  1 , So Young Yoon  1
Affiliations
Case Reports

Acute cor pulmonale due to pulmonary tumor thrombotic microangiopathy in two patients with breast cancer

Sung Young Moon et al. Korean J Intern Med. 2017 Jan.
No abstract available

Keywords: Breast neoplasms; Pulmonary heart disease; Thrombi.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1.
Figure 1.
Computed tomography showed multiple centrilobular nodules with tree-in-bud appearances in cases 1, 2. A mediastinal setting showed a dilated right ventricle and a compressed D-shaped left ventricle in cases 1 and 2, respectively (A, C). A lung setting showed multiple ill-defined centrilobular nodules with tree-in-bud appearances in cases 1 and 2, respectively (B, D).
Figure 2.
Figure 2.
Echocardiography in case 2. (A) Parasternal short axis view, mid-ventricular plane on transthoracic echocardiography reveals a D-shaped LV throughout the systolic and diastolic period. (B) The 2-dimensional and color Doppler comparative focused image of the apical 4-chamber view showed mild-to-moderate tricuspid regurgitation. (C) The peak tricuspid regurgitation velocity was 3.7 m/sec, pressure gradient 55 mmHg, indicating pulmonary hypertension. (D) The dilated inferior vena cava (IVC) diameter in case 1 was 21 mm without inspiratory collapse. RV, right ventricle; LV, left ventricle.
See this image and copyright information in PMC

References

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