Publication:
Unexpected causes of pulmonary hypertension in a previously healthy Thai rural man with right-sided heart failure

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Issued Date

2014

Resource Type

Article

File Type

application/pdf

ISSN

19415923

DOI

10.12659/AJCR.890340

Other identifier(s)

2-s2.0-84899757577

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

American Journal of Case Reports. Vol 15, (2014), p.180-184

Suggested Citation

Angkananard T., Chonmaitree P., Petborom P. Unexpected causes of pulmonary hypertension in a previously healthy Thai rural man with right-sided heart failure. American Journal of Case Reports. Vol 15, (2014), p.180-184. doi:10.12659/AJCR.890340 Retrieved from: https://hdl.handle.net/20.500.14740/6769

Title

Unexpected causes of pulmonary hypertension in a previously healthy Thai rural man with right-sided heart failure

Author(s)

Angkananard T.
 Chonmaitree P.
 Petborom P.

Abstract

Background: Hyperthyroidism is one of the important causes of high-output failure and reversible pulmonary artery hypertension. Severe pulmonary artery hypertension is rarely found in associated with hyperthyroidism due to the small number of cases reported. We present an interesting case with multiple unexpected findings of the possible causes of severe pulmonary artery hypertension: hyperthyroidism, pulmonary embolism, and ostium secundum atrial septal defect. Case Report: We present the case of a previously healthy rural Thai man who progressively developed dyspnea on exertion, chronic diarrhea, and jaundice for the previous 3 months. Physical examination revealed right-sided predominate chronic heart failure with signs of pulmonary hypertension. The investigation demonstrated autoimmune hyperthyroidism, cholestatic jaundice, moderate tricuspid regurgitation, ostium secundum atrial septal defect, and severe pulmonary artery hypertension. After treatment with an anti-thyroid drug and closure of the ostium secundum atrial septal defect, his symptoms of jaundice and pulmonary artery pressure were completely resolved. Conclusions: Severe pulmonary artery hypertension may not solely be a result of hyperthyroidism. Further investigation for other causes is recommended. © Am J Case Rep, 2014.

Subject(s)

Alanine aminotransferase
 Albumin
 Alkaline phosphatase
 Aspartate aminotransferase
 Bilirubin
 Furosemide
 Globulin
 Propylthiouracil
 Spironolactone
 Thyroglobulin antibody
 Thyroid peroxidase antibody
 Thyrotropin
 Warfarin
 Adult
 Alanine aminotransferase blood level
 Albumin blood level
 Alkaline phosphatase blood level
 Article
 Ascites
 Aspartate aminotransferase blood level
 Bilirubin blood level
 Cardiomegaly
 Carvallo sign
 Case report
 Chronic diarrhea
 Computed tomographic angiography
 Dyspnea
 Electrocardiography
 Globulin blood level
 Goiter
 Heart atrium septum defect
 Heart disease
 Heart right ventricle failure
 Heart right ventricle hypertrophy
 Hepatojugular reflux
 Human
 Hyperthyroidism
 Leg edema
 Liothyronine blood level
 Liver function test
 Lung blood vessel
 Male
 Middle aged
 Obstructive jaundice
 Onycholysis
 Physical examination
 Pleura effusion
 Pulmonary hypertension
 Sinus tachycardia
 Systolic heart murmur
 Thoracocentesis
 Thorax radiography
 Thyroglobulin blood level
 Thyroid hormone blood level
 Thyrotropin blood level
 Thyroxine blood level
 Transesophageal echocardiography
 Transthoracic echocardiography
 Vascular closure device
 Venous reflux

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URI

https://hdl.handle.net/20.500.14740/6769

Collections

Scopus: Year 1983-2021

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