Acute Right Heart Failure and Achalasia-like Syndrome in a Patient with Limited Cutaneous Systemic Sclerosis and Primary Biliary Cirrhosis
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概要
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We report a case of a 63-year-old woman who developed acute right heart failure and an achalasia-like syndrome with limited cutaneous systemic sclerosis (lcSSc) and primary biliary cirrhosis. Intravenous administration of diuretics improved her acute heart failure. Anti-centromere antibodies and anti-mitochondria antibodies were present. A coronary angiogram and a Swan-Ganz catheter revealed no abnormalities. Thallium-201 scan at rest demonstrated mild perfusion defects in both the apex and the anteroseptal and the inferior myocardium. A cine-esophagram revealed an achalasia-like syndrome. Though rare, physicians should be aware that some patients with lcSSc may develop acute right heart failure or achalasia-like syndrome.
著者
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Yano Kazuo
Department Of Cardiology Takanoko Hospital
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Kikuchi Takanori
Department Of Materials Science Toyohashi University Of Technology
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Nomoto Takahiko
Department Of Cardiology Saiseikai Saijo Hospital
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Makino Hideichi
Department Of Hypertension And Cardiorenal Medicine Dokkyo Medical University
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Fujii Yasuhisa
Department of Anatomy and Molecular Histology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Chuo, Yamanashi 409-3898
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Fujii Yasuhisa
Department of Internal Medicine, Takanoko Hospital
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Makino Hideichi
Department of Internal Medicine, Takanoko Hospital
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Yano Kazuo
Department of Internal Medicine, Takanoko Hospital
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Kusunoki Yukiko
Department of Internal Medicine, Takanoko Hospital
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Akesaka Kazuyuki
Department of Internal Medicine, Takanoko Hospital
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Nomoto Takahiko
Department of Internal Medicine, Takanoko Hospital
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