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- Sumida Hitoshi
- Division of Intensive Care Unit, Kumamoto Central Hospital, Japan
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- Morihisa Kenji
- Division of Cardiovascular Medicine, Kumamoto Central Hospital, Japan
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- Katahira Kazuhiro
- Division of Radiology, Kumamoto Central Hospital, Japan
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- Sugiyama Seigo
- Division of Cardiovascular Medicine, Jinnouchi Hospital, Japan
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- Kishi Takuya
- Collaborative Research Institute of Innovation for Cardiovascular Diseases, Kyushu University Center for Disruptive Cardiovascular Medicine, Japan
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- Oshima Shuichi
- Division of Cardiovascular Medicine, Kumamoto Central Hospital, Japan
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抄録
<p>A 79-year-old woman was admitted with a left femoral neck fracture and she immediately developed circulatory shock. Echocardiography showed a markedly enlarged right ventricle (RV) with systolic ballooning of the mid-ventricular wall and preserved contractility of the apex. The left ventricular (LV) motion was normal. Multi-detector-row computed tomography showed severe congestion of the contrast media in the right atrium with no forward flow to RV, but no pulmonary embolism. She was successfully treated with percutaneous veno-arterial extracorporeal membrane oxygenation. This case presented with acute, profound, but reversible RV dysfunction triggered by acute stress in a manner similar to that seen in LV stress cardiomyopathy. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (16), 2159-2164, 2017
一般社団法人 日本内科学会