Vascular malformations as underlying cause of chronic thromboembolism and pulmonary hypertension.

Oduber, Charlene E U; Gerdes, Victor E A; van der Horst, Chantal M A M; Bresser, Paul · J Plast Reconstr Aesthet Surg · 2009

case_report · Level V

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Abstract

We report four patients with chronic thromboembolic pulmonary hypertension (CTEPH) presumably due to recurrent pulmonary embolism from low-flow vascular malformations, and give a review of the literature. Venous malformations, such as those observed in Klippel- Trenaunay syndrome (KTS) can be associated with hypercoagulability, thrombosis and recurrent pulmonary embolism and ultimately CTEPH. Since many physicians appear unfamiliar with these potential complications, patients may experience a delayed diagnosis of this progressive and potentially life-threatening CTEPH.

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