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01121 Journal of Nara Medical Association >
Vol.51 No.3 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/603
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Title: | 高度の肺高血圧を合併した高齢者慢性肺動脈血栓閉塞症の1例 |
Other Titles: | A CASE OF CHRONIC PULMONARY EMBOLISM WITH SEVERE PULMONARY HYPERTENSION IN AN ELDERLY PATIENT |
Authors: | 那須, 賢哉 松倉, 康夫 藤井, 厚史 西田, 育功 藪田, 育男 野中, 秀郎 山野, 繁 土肥, 和紘 |
Keywords: | chronic pulmonary embolism elderly pulmonary hypertension |
Issue Date: | 30-Jun-2000 |
Publisher: | 奈良医学会 |
Citation: | Journal of Nara Medical Association Vol.51 No.3 p.181-185 |
Abstract: | A 76-year-old female was admitted to our hospital because of dyspnea on
effort. She had suffered from hypertension for nine years and had a sudden onset of
dyspnea a year and five months before admission. A chest reontgenogram showed marked
enlargement of the cardiac shlhouette. Chest enhanced CT study revealed that an embolism
in the right main pulmonary artery had caused stenosis. However, pulmonary angiographic
study suggested that embolism was questionable. The pulmonary arterial pressure was 100
/30 mmHg and the right ventricular pressure was 112/10 mmHg Lung scan test showed
mismatched defects between abnormal perfusion scanning and normal ventilation scanning.
Venous ultrasound imaging revealed thrombosis in the popliteal vein. The patient was
diagnosed as having chronic pulmonary embolism due to deep vein thrombosis. She had
been taking warfarin as anticoagulant thrapy.
We believe this was a case of chronic pulmonary embolism. In elderly patients with
sudden onset of dyspnea, chest enhanced CT study is necessary for the accurate diagnosis
of chronic pulmonary embolism. |
URI: | http://hdl.handle.net/10564/603 |
ISSN: | 13450069 |
Appears in Collections: | Vol.51 No.3
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