CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard

Mustard gas causes damage to the skin, eyes, respiratory system, and gastrointestinal tract. Victims of sulfur mustard (SM) gas exposure experience different types of chronic pulmonary disease. In a case with severe MS, the complications are getting worse. Balloon dilatation is effective in providin...

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Main Authors: Ali Reza Saadat, Fakhraddin Faizi, Davood Kazemi Saleh
Format: Article
Language:English
Published: Termedia Publishing House 2005-12-01
Series:Archives of Medical Science
Subjects:
Online Access:http://www.termedia.pl/magazine.php?magazine_id=19&article_id=4199&magazine_subpage=FULL_TEXT
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author Ali Reza Saadat
Fakhraddin Faizi
Davood Kazemi Saleh
author_facet Ali Reza Saadat
Fakhraddin Faizi
Davood Kazemi Saleh
author_sort Ali Reza Saadat
collection DOAJ
description Mustard gas causes damage to the skin, eyes, respiratory system, and gastrointestinal tract. Victims of sulfur mustard (SM) gas exposure experience different types of chronic pulmonary disease. In a case with severe MS, the complications are getting worse. Balloon dilatation is effective in providing sustained haemodynamic and symptomatic improvement of patients with severe mitral stenosis. Percutaneous Trans Luminal Mitral Commissuerotomy (PTMC) procedure performed in a 39-year-old man with coexisting mitral stenosis (MS) and idiopathic thrombocytopenic purpura (ITP) whose platelet count was 35.8x103/mm3 on admission. He was also a case known as chemical weapons victim of the Iran-Iraq war (1979-1988). He was managed with Duretics (Furosemide 20 Mg/TID/IV at first day and 40 MG/BID/Oral), Metoral 12.5Mg/BID. He was also treated with immunoglobulin G (IgG) (0.5 g/kg/d) for 4 days, resulting in a platelet count rise to 151x103/mm3. He subsequently underwent a PTMC procedure with mitral valve area (MVA) about 0.9 cm2 without a requirement of Heparin infusion. Echocardiography showed MVA rose to 2.5 cm2 and the spirometric study revealed an improvement in the pulmonary function test.
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spelling doaj.art-e5813f3d42fd4f998d2cec209d0a27992022-12-21T22:50:44ZengTermedia Publishing HouseArchives of Medical Science1734-19222005-12-0114246248CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustardAli Reza SaadatFakhraddin FaiziDavood Kazemi SalehMustard gas causes damage to the skin, eyes, respiratory system, and gastrointestinal tract. Victims of sulfur mustard (SM) gas exposure experience different types of chronic pulmonary disease. In a case with severe MS, the complications are getting worse. Balloon dilatation is effective in providing sustained haemodynamic and symptomatic improvement of patients with severe mitral stenosis. Percutaneous Trans Luminal Mitral Commissuerotomy (PTMC) procedure performed in a 39-year-old man with coexisting mitral stenosis (MS) and idiopathic thrombocytopenic purpura (ITP) whose platelet count was 35.8x103/mm3 on admission. He was also a case known as chemical weapons victim of the Iran-Iraq war (1979-1988). He was managed with Duretics (Furosemide 20 Mg/TID/IV at first day and 40 MG/BID/Oral), Metoral 12.5Mg/BID. He was also treated with immunoglobulin G (IgG) (0.5 g/kg/d) for 4 days, resulting in a platelet count rise to 151x103/mm3. He subsequently underwent a PTMC procedure with mitral valve area (MVA) about 0.9 cm2 without a requirement of Heparin infusion. Echocardiography showed MVA rose to 2.5 cm2 and the spirometric study revealed an improvement in the pulmonary function test.http://www.termedia.pl/magazine.php?magazine_id=19&article_id=4199&magazine_subpage=FULL_TEXTSulfur MustardPTMCITP
spellingShingle Ali Reza Saadat
Fakhraddin Faizi
Davood Kazemi Saleh
CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard
Archives of Medical Science
Sulfur Mustard
PTMC
ITP
title CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard
title_full CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard
title_fullStr CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard
title_full_unstemmed CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard
title_short CASE REPORT:<br>Improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39-year-old man exposed to sulfur mustard
title_sort case report br improvement of the pulmonary function following percutaneous transluminal mitral commissuerotomy in a 39 year old man exposed to sulfur mustard
topic Sulfur Mustard
PTMC
ITP
url http://www.termedia.pl/magazine.php?magazine_id=19&article_id=4199&magazine_subpage=FULL_TEXT
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AT davoodkazemisaleh casereportbrimprovementofthepulmonaryfunctionfollowingpercutaneoustransluminalmitralcommissuerotomyina39yearoldmanexposedtosulfurmustard