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Journal List > Korean Circ J > v.25(1) > 1073124

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Ku, Ha, Kwan, Jun, Chung, Kim, and Lee: Pulmonary Embolism in Lupus Anticoagulant Positive Postmenopausal Woman after Estrogen Replacement Therapy
Case Report
Korean Circulation Journal

Korean Circulation Journal 1995; 25(1): 124-131.

Published online: 28 February 1995

DOI: https://doi.org/10.4070/kcj.1995.25.1.124

Pulmonary Embolism in Lupus Anticoagulant Positive Postmenopausal Woman after Estrogen Replacement Therapy

Bon Kwon Ku, M.D., Jong Won Ha, M.D., June Kwan, M.D., Dong Woon Jun, M.D., Namsik Chung, M.D., Sung Soon Kim, M.D., Do Yun Lee, M.D.

Copyright © 1995 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Pulmonary embolism, Estrogen, Lupus anticoagulant

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