JACC: Case Reports (Apr 2020)

Chronic Thromboembolic Pulmonary Hypertension Secondary to Thrombophilia and Incidentally Diagnosed Atrial Septal Defect

  • Mehmet Kilinc, MD,
  • Yalin Tolga Yaylali, MD,
  • Bedrettin Yildizeli, MD,
  • Serpil Tas, MD

Journal volume & issue
Vol. 2, no. 4
pp. 658 – 661

Abstract

Read online

A 46-year-old man developed chronic thromboembolic pulmonary hypertension and atrial fibrillation after acute pulmonary embolism. He was found incidentally to have an isolated secundum atrial septal defect, as well as a homozygous mutation for the plasminogen activator inhibitor-1 gene. He was successfully treated with pulmonary endarterectomy and atrial septal defect repair. He has continued to do well on a regimen of dabigatran. (Level of Difficulty: Beginner.)

Keywords