Abstract
A 72-year-old lady was referred to our Pulmonary Hypertension Unit with WHO Class IV dyspnoea. Previous computed tomography pulmonary angiography had revealed chronic thrombo-embolism. The degree and distribution of disease was confirmed with gadolinium-enhanced cardiac magnetic resonance (CMR) pulmonary angiography ( Panel A , see also Supplementary material online, Movie 1 ). The right ventricle was severely dilated with an ejection fraction of 32% by CMR. Functional testing demonstrated reduced 6 min walk …
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