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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:1720-1728 December 2, 1993 Number 23
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Case 48-1993— A 27-Year-Old Woman with Mediastinal Lymphadenopathy and Relentless Cor Pulmonale
L. Jack Faling, and Eugene J. Mark

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Presentation of Case

A 27-year-old woman was admitted to the hospital because of pulmonary hypertension with increasing right-sided heart failure.

The patient had been well and active until nine months earlier, when she first experienced mild dyspnea while riding a bicycle. The dyspnea worsened, and three months before entry medical evaluation elsewhere included radiographs of the chest that showed slight cardiac enlargement and prominent pulmonary-artery shadows. An ultrasonographic examination of the heart revealed marked dilatation of the right ventricle, with moderate tricuspid regurgitation; the estimated pulmonary arterial pressure was over 100 mm Hg. A ventilation-perfusion scan disclosed no evidence of thromboembolic disease. The . . . [Full Text of this Article]

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Dr. L. Jack Faling's Diagnoses

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