Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Use of Coils and a Pulmonary Vasodilator to Reduce Pulmonary Hypertension in a Patient with Interstitial Pneumonia and Scleroderma
Gusti Rizky Teguh RyantoKazuhiko NakayamaTomofumi TakayaDaichi FujimotoHiroto KinutaniYuto ShinkuraShumpei MoriTakuya OkadaTatsuya NishiiAtsushi KonoToshiro ShinkeNoriaki EmotoKen-ichi Hirata
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2015 Volume 54 Issue 21 Pages 2721-2726


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 undiagonosed 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.

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© 2015 by The Japanese Society of Internal Medicine
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