雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Successful Nocturnal Continuous Positive Airway Pressure Treatment on a Patient of Obstructive Sleep Apnea Syndrome with Post Operative Pulmonary Hypertension in ASD: A case report Machiko Tanakaya 1 , Kunihisa Kohno 1 , Kazuhiro Osawa 1 , Daiji Saito 1 , Teruo Shiraki 1 , Yusuke Katayama 1 , Jun Iwasaki 1 , Natsuki Takahashi 1 , Kazufumi Takeuchi 1 , Masatoki Yoshida 1 , Hideyuki Suzuki 1 , Takashi Murakami 2 , Yu Koyama 2 1Department of Cardiology, Iwakuni Clinical Center, National Hospital Organization 2Department of Cardiovascular Surgery, Iwakuni Clinical Center, National Hospital Organization Keyword: 心房中隔欠損症 , 睡眠時無呼吸症候群 , 肺高血圧 , atrial septal defect , sleep apnea syndrome , pulmonary hypertension pp.323-326
Published Date 2009/3/15
DOI https://doi.org/10.11477/mf.1404101229
  • Abstract
  • Look Inside
  • Reference

 In April, 2007, a 74-year-old woman who complained of dyspnea on effort was admitted to our department. Both transthoracic and transesophageal echocardiography revealed atrial septal defect and right cardiac overload. Although it was hard to control cardiac heart failure caused by pulmonary hypertension, cardiac catheterization showed a rather low pulmonary-systemic resistance ratio 0.07, regardless of the high mean pulmonary artery pressure 38mmHg. The results encouraged us to perform surgical patch closure on the patient. Immediately after the operation, pulmonary artery pressure improved to 30-40mmHg. After extubation, however, sudden and transient elevation of pulmonary artery pressure was repeatedly observed during sleep time. Since sleep apnea syndrome had something to do with this event, we applied nocturnal non-invasive positive pressure therapy(BilevelPAP),resulting favorably in improvement of pulmonary artery pressure. A full polysomnograph performed later on, showed severe obstructive sleep apnea(OSAS). Thus, this case suggests a way to devise a treatment strategy for pulmonary hypertension.


Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有