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- 저자 : Laura Torres-Canchala (검색결과 1 건)
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Gigantomastia as a Cause of Pulmonary Hypertension
Juan Pablo Castillo,Ana María Robledo,Laura Torres-Canchala,Lady Roa-Saldarriaga 대한성형외과학회 2022 Archives of Plastic Surgery Vol.49 No.3
Reduction mammaplasty is the gold standard treatment for gigantomastia. We report one female patient with juvenile gigantomastia associated with severe pulmonary hypertension where her pulmonary pressure decreased significantly after the surgery, improving her quality of life. A 22-year-old female patient with gigantomastia since 10 years old, tricuspid regurgitation, and pulmonary thromboembolism antecedent was admitted to the emergency department. Her oxygen saturation was 89%. Acute heart failure management was initiated. An echocardiogram reported left ventricle ejection fraction (LVEF) of 70% with severe right heart dilation, contractile dysfunction, and arterial pulmonary pressure (PASP) of 110mm Hg. A multidisciplinary team considered gigantomastia could generate a restrictive pattern, so a Thorek reduction mammoplasty with Wise pattern was performed. Presurgical measurements were: sternal notch to nipple-areola complex, right 59 cm, left 56 cm. Three days after surgery, the patient could breathe without oxygen support. In the outpatient followup, patient referred reduction of her respiratory symptoms and marked improvement in her quality of life. Sixmonths after surgery, a control echocardiogram showed a LVEF of 62% and PASP of 85mm Hg. Pulmonary hypertension may be present in patients with gigantomastia. Reduction mammoplasty may be a feasible alternative to improve the cardiac signs and symptoms in patients with medical refractory management.
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