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- W2036258506 abstract "A 60-year-old single lady presented with increasing breathlessness on exertion, orthopnoea and swelling of her ankles. She had undergone right pneumonectomy in 1952 (aged 26) for removal of a pulmonary dermoid cyst. On examination she was dyspnoeic at rest and centrally cyanosed. The jugular venous pressure was elevated to the angle of the jaw and there was oedema of both legs. The heart rhythm was atria1 fibrillation with an apical rate of 110, her left lung had basal inspiratory crackles. Investigations showed a haemoglobin of 14.3 g dl-I, haematocrit 47%; electrolytes, calcium, liver function and serum thyroxine were within the laboratory reference range. The chest radiograph revealed the right pneumonectomy but with a central mediastinum. The left lung was plethoric, with no evidence of upper lobe blood diversion or pulmonary oedema. ECG confirmed atria1 fibrillation and right ventricular hypertrophy. The echocardiogram demonstrated large right chambers with mild tricuspid regurgitation; left ventricular function was good, and no left-to-right shunt was demonstrated. The presentation was one of hypoxic pulmonary heart disease, although the cause of the presumed pulmonary hypertension was not evident. She was treated with oral diuretics (frusemide 80mgf" @default.
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- W2036258506 date "1994-02-01" @default.
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- W2036258506 title "Capillary haemangiomatosis: a rare cause of pulmonary hypertension" @default.
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- W2036258506 doi "https://doi.org/10.1016/0954-6111(94)90030-2" @default.
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