Volume 26
Number 4
Sep 2018
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Case Reports
S. Henderson, K. de Nie, E. Hamoen, J. Maas, L. Speet

Pulmonary hypertension (PHT) in the ICU is mostly seen in cardiac surgery patients, in patients with acute respiratory distress syndrome or pulmonary embolism. However,there is
a broad differential diagnosis. In this case report we present a patient, who rapidly developed PHT with right sided heart failure and who was unresponsive to medical therapy. The diagnosis of "Pulmonary Tumor Thrombotic Microangiopathy (PTTM)" was suspected. PTTM is a fatal, cancer-related pulmonary complication, characterized by progressive dyspnoea, pulmonary hypertension and right-sided heart failure.

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