A Case of Refractory Pleural Effusion after Mitral Valve Replacement Successfully Treated by Adding Goreisan
10.3937/kampomed.63.103
- VernacularTitle:僧帽弁置換術後の難治性胸水に対して五苓散追加が有効であった一症例
- Author:
Seiichiro USUKI
;
Takashi NISHIMOTO
- Publication Type:Journal Article
- Keywords:
mitral valve replacement;
heart failure;
efractory pleural effusion;
diuretic;
goreisan
- From:Kampo Medicine
2012;63(2):103-108
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of refractory pleural effusion after mitral valve replacement (MVR) successfully treated by adding goreisan. A 60-year-old man had right pleural effusion with exertional dyspnea in spite of taking two diuretics (furosemide 60 mg and spironolactone 25 mg a day) for 2 years after MVR. He underwent drainage twice and spironolactone was increased to 50 mg, but his pleural effusion volume still increased. Then in addition, he received goreisan 7.5 g a day, and the pleural effusion was decreased and stabilized. This suggests that goreisan is a candidate drug for additional treatment, when pleural effusion is uncontrolled because of heart failure, despite taking diuretics.
