An Autopsied Case of Eisenmenger Syndrome Complicated by Recurrent Thromboembolic Phenomena in Postpartal Period
スポンサーリンク
概要
- 論文の詳細を見る
Dyspnea, back pain, edema, and cyanosis developed suddenly in a 23-year-old woman during the last trimester of her first pregnancy. Although she had been noticed to have the enlarged heart and exertional shortness of breath to a slight degree, she had been apparently in good condition without any significant heart murmurs. Clinically, recurrent episodes of disseminated intravascular coagulation, including pulmonary thrombosis, were thought to be superimposed to Eisenmenger syndrome associated with toxemia of pregnancy. Anticoagulant and fibrinolytic treatments were tried, but their effectiveness was limited by hemorrhagic diathesis. She died of respiratory and circulatory failure after delivery of a moribund baby. Autopsy revealed Eisenmenger complex (a defect in the membranous portion of the interventricular septum and pulmonary vascular disease) and many fresh hemmorrhages in both lungs with a lot of new and organized thrombi. Fresh thrombi were also seen in the heart, the pancreas and the kidneys. The high peripartal mortality in Eisenmenger syndrome could be attributed to pulmonary thrombosis, which may be related to DIC, as well as to peripartal changes in circulatory function.
- International Heart Journal刊行会の論文
著者
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Koide Tadashi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Sugishita Yasuro
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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NONAKA Yasunobu
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Murao Satoru
Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Ishii Masao
Second Department Of Internaal Medicine Yokohama City University
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MORI Masashi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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KOIDE Tadashi
Second Department of Internal Medicine, Faculty of Medicine University of Tokyo
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SUGISHITA Yasuro
Second Department of Internal Medicine, Faculty of Medicine University of Tokyo
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