This case involves a patient who developed pulmonary hypertension after using the drug Fenfluramine/phentermine for a one year period. The patient experienced chest pain and severe shortness of breath and was subsequently admitted to the hospital for a workup to rule out thromboembolic disease as a potential cause. The original CT-angiogram was read as having a low index of suspicion for thromboembolic disease. A short time after the patient underwent a perfusion scan and a pulmonary angiogram that revealed chronic embolic disease.
Question(s) For Expert Witness
- Can you determine from chest imaging whether it is likely that the patient had pulmonary hypertension at the time the embolism was diagnosed and if so how does pulmonary hypertension increase the risk of thromboembolic disease?