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Chronic thromboembolic pulmonary hypertension in a patient heterozygous for both factor V Leiden and G20210 prothrombin mutation
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A 32 year old man presented with shortness of breath following spontaneous left lower extremity deep venous thrombosis and subsequent multiple pulmonary emboli, documented with ventilation-perfusion lung scintigram. He had no previous medical history of this nature.
Despite adequate anticoagulation the patient gradually developed signs of right ventricular …