CHEST 2023 On Demand Pass-Pulmonary Vascular Disease Clinical Case Puzzlers

Video Transcription

Video Summary

It's a bit unclear from the transcript, but it seems that the first case involves a patient with pulmonary hypertension, likely due to Eisenmanger syndrome, who presented with acute on chronic hypoxic respiratory failure. Despite treatment with inhaled prostacyclin and non-invasive ventilatory support, the patient's hypoxia worsened and she ultimately died in the ICU. The second case involves a patient with end-stage renal disease and a history of obesity who presented with worsening dyspnea. Imaging revealed a complete left main pulmonary artery embolism, and the patient was started on anticoagulation therapy. A biopsy was performed to confirm the diagnosis of thrombus. The patient's treatment included mechanical and pharmacological thrombolysis, but with limited success. The cases highlight the challenges in managing patients with severe pulmonary hypertension and the need for individualized treatment plans.

Meta Tag

Category Pulmonary Vascular Disease

Session ID 5005

Speaker Kirk Jones

Speaker Stephen Machnicki

Speaker Ruth Minkin

Speaker Anthony Saleh

Speaker Rakesh Shah

Speaker Henry Tazelaar

Speaker Saarwaani Vallabhajosyula

Track Pulmonary Vascular Disease

Keywords

pulmonary hypertension

Eisenmanger syndrome

hypoxic respiratory failure

inhaled prostacyclin

non-invasive ventilatory support

end-stage renal disease

left main pulmonary artery embolism

anticoagulation therapy

biopsy

thrombus

PH