KMID : 0357819960200010100
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Korean Journal of Legal Medicine 1996 Volume.20 No. 1 p.100 ~ p.102
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Death by Right Heart Failure Due to Promary Pulmonary Hypertention
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Abstract
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Primary pulmonary hypertension is a rare disease and diagnosed only when the underlying causes are undetermined. Pulmonary hypertension is caused largely by an increase in pulmonary vascular resistance and is most frequently chronic pulmonary obstructive diseases, recurrent pulmonary emboli or antecedent heart diseases. We experience and report a case of primary pulmonary hypertension. The pulmonary changes show atherosclerosis in all the pulmonary arteries, medial hypertrophy, intimal proliferation and fibrosis and plexiform lesion. Plexif¢¥orm lesion is characteristic in the histological diagnosis of primary pulmonary hypertension when there is no other associated disease, such as liver cirrhosis, tricuspid cardiac shunts and portal vein thrombosis.
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