Pulmonary Capillary Bleeding in a Patient with Severe Left Ventricular Failure after Acute Myocardial Infarction under Anti-thrombotic Therapy

DOI Web Site 参考文献9件
  • Ishikawa Kazunobu
    The First Department of Internal Medicine, Fukushima Medical University
  • Kaneko Hironori
    The First Department of Internal Medicine, Fukushima Medical University
  • Oikawa Masayoshi
    The First Department of Internal Medicine, Fukushima Medical University
  • Ishii Taeko
    Department of Pulmonary Medicine, Fukushima Medical University
  • Yoshikawa Motoko
    Department of Pulmonary Medicine, Fukushima Medical University
  • Yamaguchi Osamu
    The First Department of Internal Medicine, Fukushima Medical University
  • Ishikawa Shunichi
    The First Department of Internal Medicine, Fukushima Medical University
  • Mitsugi Minoru
    The First Department of Internal Medicine, Fukushima Medical University
  • Munakata Mitsuru
    Department of Pulmonary Medicine, Fukushima Medical University
  • Maruyama Yukio
    The First Department of Internal Medicine, Fukushima Medical University

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抄録

A 52-year-old man who was admitted for cardiogenic shock after acute myocardial infarction developed severe left ventricular dysfunction despite reperfusion therapy with coronary stents. After the 40th hospital day, he started to have cough and pulmonary infiltrates. Antimicrobial therapies and subsequent prednisolone for bronchiolitis obliterans organizing pneumonia were ineffective. Bronchoscopic examination revealed diffuse pulmonary bleeding and exudation of hemosiderin-containing macrophages in bronchial lavage fluid. Pulmonary capillary bleeding has been reported in the terminal stage of patients with mitral stenosis in the pre-cardiac surgery era. This complication reemerges in patients with severe heart failure receiving intensive anti-coagulation therapy after implanting a sirolimus-eluting coronary stent.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 46 (11), 721-726, 2007

    一般社団法人 日本内科学会

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