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Vol.48 No.5 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/393

Title: 肺梗塞の診断に緊急MRAが有用であった1例
Other Titles: A CASE OF PULMONARY EMBOLISM DIAGNOSED BY MAGNETIC RESONANCE ANGIOGRAPHY
Authors: 佐々木, 弥寿延
川本, 篤彦
上村, 史朗
橋本, 俊雄
土肥, 和紘
藤田, 泰三
平井, 純
Keywords: diagnostic use
echocardiography
magnetlc resonance angiography
pulmonary embolism
Issue Date: 31-Oct-1997
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.48 No.5 p.288-292
Abstract: A 72-year-old woman was admitted to our hospital after developing dyspnea and chest pain. Arterial blood gas examination showed severe hypoxia. Doppler echocardiography showed a marked increase in pulmonary artery systolic pressure to 70 mmHg. Magnetic resonance angiography (MRA) indicated that there was a thrombus in the right pulmonary artery. Based on these results, the patient was diagnosed as having pulmonary artery embolism for which she received heparin and urokinase for 7 and 3 days, respectively. From the 5th day of hospitalization, she received warfarin to prevent the recurrence of pulmonary artery thrombosis. On the 40th day, repeat MRA revealed that the thrombus in the right pulmonary artery had resolved. Repeat doppler echocardiography showed that the pulmonary artery systolic pressure had decreased to 23 mmHg. MRA is useful for the noninvasive diagnosis of pulmonary artery embolism and the accurate evaluation of the efficacy of thrombolytic therapy.
URI: http://hdl.handle.net/10564/393
ISSN: 04695550
13450069
Appears in Collections:Vol.48 No.5

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