A case of pulmonary infarction in 19-year-old girl with single ventricle and single atrium.:Analyses of previous reports in Japanese children with pulmonary infarction

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We report a case of pulmonary infarction in 19-year-old girl and review 18 Japanese pediatric cases previously reported over16years from 1983 to 1999. We summarize the clinical manifestations of pulmonary infarction in the 19 Japanese cases.<BR>A 19-year-old girl was admitted to Kiryu Kousei General Hospital because of high fever and left lower limb edema. She had single ventricle and single atrium, and was treated with Blalock-Taussing Shunt procedure at 2 years old. At 19 years old, the patient suffered from sepsis of Peptococcus magnus after trauma. We treated her with aspirin, antibiotics, cardiac stimulant, and diuretics. Her condition did not improve with any of these treatment, and suddenly she developed dyspnea, and had cardiac arrest occurred. Diagnosis of pulmonary infarction was made. The patient died at 7 days after the onset of this infection.<BR>All Japanese children with pulmonary infarction had underlying diseases including congenital heart disease (plus pulmonary hypertension), trauma (including operations), collagen diseases, coagulopathy, infections, and tumor. We should consider that we treat Japanese children who had those risk factors for thromboembolism with anticoagulant therapy
日本小児呼吸器疾患学会の論文