H. F. Rodriguez, M.D., (Assoc.); A. F. Duran, M.D.; L. G. Moliner, M.D.
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The most severe clinical manifestation of bilharziasis occurs when prolonged and extensive obstruction of the pulmonary arterioles by ova leads to pulmonary hypertension and cor pulmonale.
An analysis of 1,100 consecutive autopsies performed in four and one-half years disclosed 54 patients with Schistosomiasis mansoni of the liver and portal hypertension. Of these, 18 (33%) had pulmonary vascular obstruction of such degree as to produce bilharzial cor pulmonale. The clinical characteristics and results of radiographic and cardiac catheterization studies of these 18 subjects, as well as of seven additional living patients, will be discussed. The differentiating features from other conditions leading
H. F. Rodriguez, A. F. Duran, L. G. Moliner. Cardiopulmonary Schistosomiasis.. Ann Intern Med. 1961;54:1057. doi: 10.7326/0003-4819-54-5-1057_1
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Published: Ann Intern Med. 1961;54(5):1057.
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