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An Adult Case of Aortopulmonary Window Which Was Found After an Episode of Heart Failure Tetsuya Seko 1 , Tetsuya Nakakuki 1 , Ken Ishikura 1 , Toshihide Obe 1 , Sukenari Koyabu 1 , Takuya Tamai 1 , Hiroshi Masuoka 1 , Masahiro Sugawa 1 1Division of Internal Medicine, Owase General Hospital Keyword: 大動脈肺動脈中隔欠損症 , 成人例 , 肺高血圧 , aortopulmonary window , adult case , pulmonary hypertension pp.1049-1052
Published Date 1999/10/15
DOI https://doi.org/10.11477/mf.1404901984
  • Abstract
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The patient was a 46-year-old woman with heart murmur which had been discovered in her childhood. She went through two pregnancies and delivered with no manifestation of heart failure. She was admitted to our hospital due to orthopnea. Echocardiography documented an aortopulmonary window with left-right shunt flow. Cardiac catheterization revealed a remark-able elevation of pulmonary artery pressure and a step-up of O2 saturation between the right ventricule and the pulmonary artery. The aortography showed opacifi-cation of the main pulmonary artery. Thus, she was diagnosed as aortopulmonary window. Case reports of aortopulmonary window over the age of forty such as this present case are very rare.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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

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