Esophageal Varices Without Porto-Systemic Venous Pressure Gradient in a Patient With Post-Pericardiotomy Constrictive Pericarditis: A Case Report
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Accession number;05A0361324
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| Title;Esophageal Varices Without Porto-Systemic Venous Pressure Gradient in a Patient With Post-Pericardiotomy Constrictive Pericarditis: A Case Report |
| Author;
OZAKI KAZUYUKI
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
KODAMA MAKOTO
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
YAMASHITA FUMIO
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
YOSHIDA TSUYOSHI
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
HIRONO SATORU
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
KATO KIMINORI
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
AIZAWA YOSHIFUSA
(Niigata Univ. Graduate School Of Medical & Dental Sci., Niigata)
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Journal Title;J Cardiol
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Journal Code:Y0264A
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ISSN:0914-5087
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VOL.45;NO.4;PAGE.161-164(2005)
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| Figure&Table&Reference; |
| Pub. Country;Japan |
| Language;English |
| Abstract;A 51-year-old woman was admitted with intractable congestive heart failure and progressive anemia. She had undergone mural valve replacement for mural regurgitation at age 23 years. Subsequently, her mural prosthesis was replaced twice due to thrombotic stack and valve insufficiency. Signs of congestive heart failure became evident at age 46 years. Gastrointestinal endoscopy revealed esophageal varices, which were treated by endoscopic variceal ligation. Cardiac catheterization disclosed elevated pulmonary capillary wedge pressure (mean 16 mmHg), right atrial pressure (mean 15mmHg), and hepatic vein wedge pressure (mean 15mmHg). She died at age 53 years. Autopsy showed severe congestive liver but not liver cirrhosis. Esophageal varices may progress in spite of the absence of porto-systemic pressure gradient in patients with severely high venous pressure. (author abst.) |
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