title: Use of Coils and a Pulmonary Vasodilator to Reduce Pulmonary Hypertension in a Patient with Interstitial Pneumonia and Scleroderma.
abstract: Fistulas between systemic and pulmonary arteries are associated with various underlying etiologies and cause pulmonary hypertension (PH). Diagnosis of this condition requires several imaging studies and the exclusion of other possible causes of PH. We herein report a case of a patient with interstitial pneumonia and scleroderma. The imaging revealed multiple fistulas involving the inferior phrenic and left lower pulmonary arteries. The fistulas were closed using coils, but the PH remained presumably due to other undiagnosed fistulas. The improvement of symptoms following use of a supplementary pulmonary vasodilator provides the hope that the chosen treatment could be a viable alternative approach for other similar cases.
authors.affiliation: Division of Cardivascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan.
authors.forename: Gusti Rizky
authors.initials: GR
authors.lastname: Teguh Ryanto
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakayama
authors.forename: Tomofumi
authors.initials: T
authors.lastname: Takaya
authors.forename: Daichi
authors.initials: D
authors.lastname: Fujimoto
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kinutani
authors.forename: Yuto
authors.initials: Y
authors.lastname: Shinkura
authors.forename: Shumpei
authors.initials: S
authors.lastname: Mori
authors.forename: Takuya
authors.initials: T
authors.lastname: Okada
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nishii
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kono
authors.forename: Toshiro
authors.initials: T
authors.lastname: Shinke
authors.forename: Noriaki
authors.initials: N
authors.lastname: Emoto
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Hirata
mesh_terms: D000368:Aged; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery; D004417:Dyspnea / Q000209:etiology*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000628:therapy; D017563:Lung Diseases, Interstitial / Q000150:complications*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012594:Scleroderma, Localized / Q000150:complications*; D012859:Sjogren's Syndrome / Q000150:complications*; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents