Pulmonary Embolism in Lupus Anticoagulant Positive Postmenopausal Woman after Estrogen Replacement Therapy.
10.4070/kcj.1995.25.1.124
- Author:
Bon Kwon KU
;
Jong Won HA
;
June KWAN
;
Dong Woon JUN
;
Namsik CHUNG
;
Sung Soon KIM
;
Do Yun LEE
- Publication Type:Case Report
- Keywords:
Pulmonary embolism;
Estrogen;
Lupus anticoagulant
- MeSH:
Dyspnea;
Echocardiography;
Estrogen Replacement Therapy*;
Estrogens*;
Female;
Heart Atria;
Humans;
Lupus Coagulation Inhibitor*;
Pulmonary Embolism*;
Urokinase-Type Plasminogen Activator
- From:Korean Circulation Journal
1995;25(1):124-131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary embolism is the impaction of material into branches of the pulmonary arterial bed. It usually occurs in patients with primary hypercoagulable states or secondary hypercoagulable states like cancer, preganancy, and estrogen replacement therapy. We report a case of a pulmonary embolism in a patient with positive lupus anticoagulant who received estrogen replacement therapy. The patient was referred due to suddenly developed shortness of breath and echogenic mass densities in the right atrium on 2 dimensional echocardiography. The patient was markedly improved with intravenous urokinase and subsequent oral anticoagulant therapy. Related articles are also reviewed.