Kokyu to junkan. Respiration & circulation
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A 32-year-old man who suffered from acute myocardial infarction due to blunt chest trauma was admitted to our hospital. The first coronary angiography was performed on the 38th day after admission. We found aneurysmal dilatation, intimal flap and subintimal hematoma, so coronary dissection of the left anterior descending branch was suspected. When the second coronary angiography was performed 11 months later, those findings had disappeared.
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Case Reports
[Chronic intractable pericardial effusion associated with pulmonary hypertension: report of two cases].
We report two cases of chronic intractable pericardial effusion associated with pulmonary hypertension. Case 1. A 35-year-old women was admitted to our hospital because of dyspnea and edema. ⋯ In summary, chronic pulmonary hypertension should be added to the list of conditions known to cause pericardial effusion. In these cases, echocardiography revealed important signs, and cardiac catheterization was essential for definite diagnosis. Pericardial effusion associated with pulmonary hypertension was refractory to diuretics and vasodilators.