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Title

Pulmonary tumor embolism: a rare cause of acute right heart failure with elevated D-dimers

Authors
Kridel, Robert
Published in Journal of thoracic oncology. 2008, vol. 3, no. 12, p. 1482-3
Abstract We report the case of a 49-year-old woman with a prior history of breast cancer who presented with a subacute course of progressive dyspnoea, culminating in cardiovascular collapse from acute right heart failure. D-dimer serum level was elevated. While a computed tomography of the chest was negative for pulmonary embolism, the autopsy study revealed multiple carcinomatous emboli in distal pulmonary arteries, veins, and lymphatics. Pulmonary tumor embolism may be more frequent than previously thought, and could be mistaken for pulmonary thrombo-embolism.
Keywords Adenocarcinoma/blood/secondaryAutopsyBreast Neoplasms/pathologyDiagnosis, DifferentialDyspnea/diagnosis/etiologyFatal OutcomeFemaleFibrin Fibrinogen Degradation Products/metabolismHeart Failure/blood/etiologyHumansLung Neoplasms/blood/secondaryLymphangitis/diagnosis/etiologyNeoplastic Cells, Circulating/pathologyPulmonary Embolism/blood/complicationsPulmonary Heart Disease/blood/etiologyTomography, X-Ray Computed
Stable URL http://archive-ouverte.unige.ch/unige:1301
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Identifiers
PMID: 19057276
Structures
Research groups Groupe Jean-Michel Gaspoz (23)
Groupe Pache Jean-Claude (pathologie clinique) (658)

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Deposited on : 2009-04-01

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