Perioperative Management with Upfront Combination Therapy in a Patient Exhibiting Idiopathic Pulmonary Hypertension with Central Pulmonary Thrombosis
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- Umezawa Hiroki
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Terada Jiro
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Tanabe Nobuhiro
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Sugiura Toshihiko
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Naito Akira
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Nishikimi Kyoko
- Department of Gynecology, Chiba University School of Medicine, Japan
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- Sakao Seiichiro
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Kasahara Yasunori
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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- Yoshida Yasuhide
- Department of Respiratory Medicine, Numazu City Hospital, Japan
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- Tatsumi Koichiro
- Department of Respirology, Graduate School of Medicine, Chiba University, Japan
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抄録
A 47-year-old woman with idiopathic pulmonary arterial hypertension (IPAH) was referred to our hospital for treatment of an ovarian tumor. Although chest contrast-enhanced CT scans obtained on admission revealed pulmonary arterial thrombosis, she was diagnosed with IPAH with central pulmonary thrombosis based on a normal perfusion lung scan. We initiated upfront triple combination therapy with pulmonary vasodilators. After one month of the therapy, the patient's pulmonary hemodynamics improved. Gynecological surgery was performed under general anesthesia without any perioperative complications. Providing careful intensive management of patients with severe PAH can reduce the perioperative risks of non-cardiac and non-obstetric surgery.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 53 (7), 777-781, 2014
一般社団法人 日本内科学会