A 38 year old woman with known primary pulmonary hypertension is admitted with acute worsening symptoms of right heart failure despite diuretics.

on Friday, April 29, 2011

Question Number 0137

Question:
A 38 year old woman with known primary pulmonary hypertension is admitted with acute worsening symptoms of right heart failure despite diuretics. She is on anticoagulant therapy.The most appropriate next step in her management would be

a) pleurectomy
b) pleuroperitoneal shunt
c) prostacyclin
d) lorazepam
e) embolisation


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