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Pulmonary Hypertension and Downhill Varices: An Incidental Finding
Bianca Thakkar1, Teresa Da Cunha2, Rachael Hagen3
1Internal Medicine, University of Connecticut Health, Farmington, USA.
Downhill varices (DV) can be caused by severe pulmonary hypertension, not just superior vena cava obstruction. This case highlights the importance of identifying underlying conditions for effective management of esophageal varices.
Area of Science:
- Gastroenterology
- Cardiology
- Pulmonology
Background:
- Downhill varices (DV), a rare form of proximal esophageal varices, are typically linked to superior vena cava (SVC) obstruction.
- Pulmonary hypertension is an under-recognized potential cause of DV.
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Gallops:

