Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : OD10 - OD11

Primary Pulmonary Artery Intimal Sarcoma Case with Elevated Coagulation Markers

Koshiro Sakai, Yoshino Minoura, Taiju Matsui, Kyoichi Kaneko, Yoichi Kobayashi

1. Senior Resident, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Shinagawaku, Tokyo, Japan. 2. Assistant Professor, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Shinagawaku, Tokyo, Japan. 3. Assistant Professor, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Shinagawaku, Tokyo, Japan. 4. Assistant Professor, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Shinagawaku, Tokyo, Japan. 5. Professor, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Shinagawaku, Tokyo, Japan.

Correspondence Address :
Yoshino Minoura,
1-5-8 Hatanodai, Shinagawaku, Tokyo-142-8666, Japan.
E-mail: yoshinomm@med.showa-u.ac.jp

Abstract

Primary Sarcoma of the Pulmonary Artery (PAS) is a very rare and miserable disease. The clinical signs and symptoms of PAS are non- specific, which usually prevents diagnosis before surgery or autopsy. The current guidelines for the diagnosis and treatment of PAS have not been well established. Several reported cases of PAS have been mistaken for Pulmonary Artery Thromboembolism (PTE), because the clinical signs and symptoms of PAS are non-specific. Elevated coagulation markers are generally absent in PAS and therefore, support a differential diagnosis of PTE. We herein report a patient with PAS who presented with elevated coagulation markers and later showed rapidly improved values mimicking response of PTE to anticoagulant therapy.

Keywords

D-dimer, Hypercoagulability, Super-hyperfibrinolysis

How to cite this article :

Koshiro Sakai, Yoshino Minoura, Taiju Matsui, Kyoichi Kaneko, Yoichi Kobayashi. PRIMARY PULMONARY ARTERY INTIMAL SARCOMA CASE WITH ELEVATED COAGULATION MARKERS. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 Apr 29 ]; 11:OD10-OD11. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=OD10-OD11&id=9609

DOI and Others

DOI: 10.7860/JCDR/2017/23423.9609


Date of Submission: Sep 30, 2016
Date of Peer Review: Dec 03, 2016
Date of Acceptance: Jan 06, 2017
Date of Publishing: Apr 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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