A 17-year-old Girl with Klippel-Weber Syndrome Complicated with a Pulmonary Thromboembolism and RV Thrombus

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概要

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• A 17-year-old girl with multiple areas of skin hemangiomas that had been present since birth was referred to our institution complaining of sudden onset of dyspnea. Enhanced CT demonstrated a pulmonary thromboembolism and transthoracic echocardiogram showed a thrombus-like echo in the right ventricle. CT further revealed thrombi in the inferior vena cava (IVC) and peripheral vein. The thrombi, especially those in the RV, were highly life-threatening; therefore, immediate thrombectomy was performed and an IVC filter was placed. Because no major complications occurred, the patient was discharged 34 days after admission. In such young women, carefully using anticoagulation therapy and planning pregnancy are recommended.

著者

• Inami Toru

  Division of Cardiology, Shizuoka Medical Center

• Murakami Daisuke

  Division Of Cardiology Tohsei National Hospital

• Takano Masamichi

  Division Of Cardiology Nippon Medical School

• Mizuno Kyoichi

  Department Of 1st Internal Medicine Nippon Medical School

• Munakata Ryo

  Division Of Cardiology Tohsei National Hospital

• IBUKI Chikao

  Division of CCU

• Ohba Takayoshi

  Division Of Cardiology Department Of Medicine Nippon Medical School

• Hata Noritake

  Division Of Intensive Care Unit Chiba Hokusoh Hospital Nippon Medical School

• Seino Yoshihiko

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Yamamoto Teppei

  Division Of Cardiology And Regenerative Medicine Department Of Internal Medicine Nippon Medical School

• Maruyama Mitsunori

  Division of Cardiology, Nippon Medical School

• Kimata Nakahisa

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Ohba Takayoshi

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Yamada Toshimasa

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Mizuno Kyoichi

  Department of Cardiovascular Medicine, Nippon Medical School, Japan

• Hata Noritake

  Division of Intensive Care Unit, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Munakata Ryo

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Takano Masamichi

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Inami Toru

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Ibuki Chikao

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

• Seino Yoshihiko

  Division of Cardiology, Nippon Medical School Chiba Hokusoh Hospital, Japan

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