A 32 year old male patient was admitted with exertional dyspnea for long duration with features of right sided failure. On examination, it seemed to be a congenital cyanotic heart disease with decrease pulmonary flow. Echocardiography showed a malaligned VSD with pulmonary stenosis with severe AR and the total regurgitation volume was going to the RV instead of going to both the ventricles lead...

Lymphangioleiomyomatosis, a multisystem disease characterized by cystic lung lesions can result in respiratory failure and is considered to be sex hormones related. No effective treatment for lymphangioleiomyomatosis is currently available. We report a 35-year-old patient in her second pregnancy. She also had experienced five episodes of spontaneous pneumothorax at the age of 30. Despite excess...

Background: Resistive Inspiratory Muscle Training (RIMT) is a well-known technique for rehabilitation of patients with Chronic Obstructive Pulmonary Disease (COPD). Incentive spirometry is another technique with potential viability for this application, but there is limited evidence in support of its efficacy in the rehabilitation of COPD patients. Aim: The objective of this study was to compar...

UNLABELLED STUDY SETTINGS AND INTERVENTIONS: Sixty individuals complaining of dyspnea on exertion, but with normal spirometry and lung volumes and normal chest roentgenograms were reviewed for this study. These individuals were selected from a large group of outpatients (552 individuals over a seven-year period) who were referred to our laboratory for exercise testing to determine the cause of ...

A 58-year-old woman was referred to our hospital with a chief complaint of exertional dyspnea. Bronchoscopy failed to establish a diagnosis, and the patient subsequently died suddenly due to respiratory insufficiency because of advanced pulmonary hypertension (PH). The pathological diagnosis at autopsy was pulmonary veno-occlusive disease (PVOD). PVOD is difficult to diagnose antemortem and has...

A 68-year-old woman with long-standing severe pulmonary arterial hypertension was referred for coronary catheterization for investigation of worsening exertional dyspnea associated with angina. Coronary angiography revealed critical ostial left main coronary artery (LMCA) stenosis. Given the history of severe pulmonary arterial hypertension, simultaneous angiography of the LMCA and main pulmona...

A 54-year-old man was admitted to our hospital due to exertional dyspnea. Chest radiography and CT revealed a large, thick-walled cavitary mass and a hydropneumothorax in the right lung in addition to a right hilar tumor and multiple small, thin-walled cavitary nodules (Picture 1). A transbronchial direct vision biopsy of the stenotic lesion of the right bronchus truncus intermedius revealed sq...

Women with valvular heart disease have an increased risk of adverse outcomes in pregnancy; however, with appropriate evaluation and treatment, most women can successfully bear healthy children. During pregnancy, pulmonary stenosis is generally well tolerated in the absence of other haemodynamically significant lesions. We present a case of a multiparous woman,who is pregnant with her sixth chil...

A 15-year-old boy was referred for evaluation of a murmur detected during a preparticipation athletic examination (PAE) for high-school football. There was no family history of cardiopulmonary disorders. The child's birth had been a normal term delivery and he had an uneventful childhood and early adolescence. He specifically denied any exertional dyspnea, chest pain, peripheral edema, or cyano...