Abstract
A 48year old woman was admitted to our department for cardiac catheterization. She was complaining of dyspnea on light exertion and chest pain for 3months and increasing headaches for about 4weeks. The symptoms started acutely after microsurgical nucleotomy at L5/S1. Acute pulmonary embolism was excluded shortly after the onset of symptoms in a CT scan of the lung. A pulmonary consultant saw no signs of pulmonary failure. During the 3months before admittance to our department, our patient had also been seen by a cardiologist who saw signs of chronic right heart failure and a mild tricuspid insufficiency.
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