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2.
Eur Heart J ; 11(7): 670-3, 1990 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2373103

RESUMO

A 54-year-old woman with unoperated patent ductus arteriosus developed fatal cardiac tamponade due to a dissecting aneurysm of the pulmonary artery causing haemopericardium. Histology of the pulmonary artery showed the presence of cystic medial necrosis. Previous reports of this condition are reviewed and the role of pulmonary hypertension causing secondary cystic medial necrosis is discussed.


Assuntos
Dissecção Aórtica/etiologia , Permeabilidade do Canal Arterial/complicações , Artéria Pulmonar , Adulto , Feminino , Humanos
3.
Br Heart J ; 63(4): 234-7, 1990 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-2337495

RESUMO

Phaeochromocytoma is rare and usually presents as paroxysmal or sustained hypertension; none the less, it can also cause severe acute pulmonary oedema in normotensive individuals. Six patients with phaeochromocytoma presenting in Cornwall and West Devon between 1982 and 1986 are described. Five of them died of pulmonary oedema within 24 hours of the onset of symptoms. At necropsy all five had normal sized hearts and in the four hearts examined by histology there was evidence of catecholamine induced heart disease in the form of focal myocardial necrosis. The sixth patient presented with arterial spasms and pulmonary oedema. Surgical removal of the causative tumour was successful in this patient.


Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico , Insuficiência Cardíaca/etiologia , Feocromocitoma/diagnóstico , Neoplasias das Glândulas Suprarrenais/complicações , Neoplasias das Glândulas Suprarrenais/patologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Miocárdio/patologia , Feocromocitoma/complicações , Feocromocitoma/patologia , Gravidez , Edema Pulmonar/etiologia , Edema Pulmonar/patologia
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