Document Detail


Acute right heart failure and achalasia-like syndrome in a patient with limited cutaneous systemic sclerosis and primary biliary cirrhosis.
MedLine Citation:
PMID:  20720358     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We report a case of a 63-year-old woman who developed acute right heart failure and an achalasia-like syndrome with limited cutaneous systemic sclerosis (lcSSc) and primary biliary cirrhosis. Intravenous administration of diuretics improved her acute heart failure. Anti-centromere antibodies and anti-mitochondria antibodies were present. A coronary angiogram and a Swan-Ganz catheter revealed no abnormalities. Thallium-201 scan at rest demonstrated mild perfusion defects in both the apex and the anteroseptal and the inferior myocardium. A cine-esophagram revealed an achalasia-like syndrome. Though rare, physicians should be aware that some patients with lcSSc may develop acute right heart failure or achalasia-like syndrome.
Authors:
Takahiko Nomoto; Takanori Kikuchi; Yukiko Kusunoki; Kazuyuki Akesaka; Kazuo Yano; Yasuhisa Fujii; Hideichi Makino
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-13
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1779-82     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Takanoko Hospital, Matsuyama, Japan.
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