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Vol.53 No.1 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/65

Title: 肺高血圧を伴う心房中欠損症に急性心筋梗塞を合併した高齢者の1例
Other Titles: A CASE OF ATRIAL SEPTAL DEFECT WITH PULMONARY HYPERTENSION COMPLICATED WITH ACUTE MYOCARDIAL INFARCTION
Authors: 吉村, 充代
中嶋, 美鐘
渡邉, 眞言
福島, 猛
藤井, 厚史
西田, 育功
花谷, 正和
野中, 秀郎
長阪, 重雄
関, 寿夫
Keywords: atrial septal defect
acutemy ocardial infarction
pulmonary hypertension
Issue Date: 28-Feb-2002
Publisher: 奈良医学会
奈良県立医科大学
Citation: Journal of Nara Medical Association Vol.53 No.1 p.75-81
Abstract: We describe a patient with pulmonary hypertension associated with an atrial septal defect (ASD) who suffered an acute myocardial infarction. The patient, 70-year-old man, was admitted to our hospital after developing chest pain. He had een diagnosed as having an ASD at the age of 69. From the electrocardiogram obtainedon admission, acute myocardial infarction was suspected. Coronary anglography revealed total obstruction of the left anterior descending coronary artery, which was successfully treated by percutaneous transluminal coronary angioplasty(PTCA). Because of repeated heart failure, ASD closure and coronary artery bypass grafting (CABG) were performed in a one-stage operation. After surgery, cardiac function improved. Direct PTCA in the acute phase and ASD closure and CABG in the chronic phase were effective for heart failure in this patient.
URI: http://hdl.handle.net/10564/65
ISSN: 13450069
Appears in Collections:Vol.53 No.1

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