Tanaka H, Nagashima J, Nobuoka S, Awaya T, Ozawa Y, Shibamoto M, Adachi H, Mitsuya N, Miyake Y, Murayama M
Second Department of Internal Medicine, St. Marianna University School of Medicine.
Nihon Ronen Igakkai Zasshi. 2000 Dec;37(12):1004-8. doi: 10.3143/geriatrics.37.1004.
We report a 70-year-old women with Eisenmenger's syndrome. Eisenmenger's syndrome with ventricular septal defect was diagnosed at another hospital when she was 32 years old. Then, she was referred to our hospital at age 60 old and she now is according to the out patient in over clinic. She have mild cardiac function, NYHA classification, was II-M, polycythemia cell blood count 535 x 10(4) and 17.2 g/dl in hemoglobin. Echocardiography suggested serious Eisenmenger's syndrome. The left ventricle was compressed, the blood pressure of the right ventricle exceeded 105 mmHg, and the onset of the right to left shunt flow was thought to be 250 msec bored on the electrocardiogram Q wave. The reason why the progression of complicated obstructive pulmonary artery disease was slow may have been become of the mildness of her polycythemia, and this is presumed to be the reason for her long survival to age 70.
