Abstract

We report a case of chronic recurrent pulmonary embolism, who presented with pulmonary hypertension, severe tricuspid regurgitation and right sided heart failure. The source of pulmonary emboli was found to be deep vein thrombosis of both lower extremities which was confirmed by the lower limbs' venograhy. The clinical characteristics, radiographic features, and echocardiographic findings along with Tc-99M macroaggregated albumin lung perfusion scan and Xe-133 ventilation lung scan are presented. These findings proved the diagnosis of chronic pulmonary embolism with severe tricuspid regurgitation and right-sided heart failure.

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