<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="case-report"        dtd-version="1.4">
            <front>

                <journal-meta>
                                                                <journal-id>eur res j</journal-id>
            <journal-title-group>
                                                                                    <journal-title>The European Research Journal</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2149-3189</issn>
                                                                                            <publisher>
                    <publisher-name>Prusa Medical Publishing</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.18621/eurj.1440680</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Cardiology</subject>
                                                            <subject>Respiratory Diseases</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Kardiyoloji </subject>
                                                            <subject>Solunum Hastalıkları</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Eisenmenger syndrome presenting with chronic thromboembolic disease</article-title>
                                                                                                                                        </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-7094-837X</contrib-id>
                                                                <name>
                                    <surname>Pazarlı</surname>
                                    <given-names>Ahmet Cemal</given-names>
                                </name>
                                                                    <aff>Department of Chest Diseases, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, Türkiye</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6915-2940</contrib-id>
                                                                <name>
                                    <surname>Karaman</surname>
                                    <given-names>Kayıhan</given-names>
                                </name>
                                                                    <aff>Department of Cardiology, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, Türkiye</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0001-2789-9840</contrib-id>
                                                                <name>
                                    <surname>Yıldırım</surname>
                                    <given-names>Tuğba</given-names>
                                </name>
                                                                    <aff>Department of Chest Diseases, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, Türkiye</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20240704">
                    <day>07</day>
                    <month>04</month>
                    <year>2024</year>
                </pub-date>
                                        <volume>10</volume>
                                        <issue>4</issue>
                                        <fpage>426</fpage>
                                        <lpage>429</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20240221">
                        <day>02</day>
                        <month>21</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20240316">
                        <day>03</day>
                        <month>16</month>
                        <year>2024</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2015, The European Research Journal</copyright-statement>
                    <copyright-year>2015</copyright-year>
                    <copyright-holder>The European Research Journal</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Eisenmenger syndrome is characterized by the reversal of blood flow due to increased pulmonary vascular resistance. It can be prevented with early diagnosis and surgical treatment. Thromboembolism is a leading cause of death in patients with Eisenmenger syndrome. Pulmonary endarterectomy is the primary treatment, but medical treatments may be considered in inoperable cases. Regular follow-up and a multidisciplinary approach are important for diagnosis and treatment. Lifestyle changes and medical therapy can improve patient&#039;s quality of life and prevent complications. Our case is presented because of the chronic thromboembolic disease in addition to the pulmonary hypertension due to the partial atrioventricular septal defect and the management of the treatment.</p></abstract>
                                                                                    
            
                                                            <kwd-group>
                                                    <kwd>Eisenmenger syndrome</kwd>
                                                    <kwd>  pulmonary hypertension</kwd>
                                                    <kwd>  chronic thromboembolic disease</kwd>
                                            </kwd-group>
                                                        
                                                                                                                                                    </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1. Basit H, Wallen TJ, Sergent BN. Eisenmenger Syndrome. [Updated 2023 Feb 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507800/</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2. Diller GP, Lammers AE, Oechslin E. Treatment of adults with Eisenmenger syndrome-state of the art in the 21st century: a short overview. Cardiovasc Diagn Ther. 2021;11(4):1190-1199. doi: 10.21037/cdt-21-135.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3. Otani N, Watanabe R, Tomoe T, Toyoda S, Yasu T, Nakamoto T. Pathophysiology and Treatment of Chronic Thromboembolic Pulmonary Hypertension. Int J Mol Sci. 2023;24(4):3979. doi: 10.3390/ijms24043979.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4. Diller GP, Kempny A, Alonso-Gonzalez R, et al. Survival Prospects and Circumstances of Death in Contemporary Adult Congenital Heart Disease Patients Under Follow-Up at a Large Tertiary Centre. Circulation. 2015;132(22):2118-2125. doi: 10.1161/CIRCULATIONAHA.115.017202.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5. Engelfriet P, Boersma E, Oechslin E, et al.The spectrum of adult congenital heart disease in Europe: morbidity and mortality in a 5 year follow-up period. The Euro Heart Survey on adult congenital heart disease. Eur Heart J. 2005;26(21):2325-2333. doi: 10.1093/eurheartj/ehi396.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6. Broberg CS, Ujita M, Prasad S, et al. Pulmonary arterial thrombosis in Eisenmenger syndrome is associated with biventricular dysfunction and decreased pulmonary flow velocity. J Am Coll Cardiol. 2007;50(7):634-642. doi: 10.1016/j.jacc.2007.04.056.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7. Silversides CK, Granton JT, Konen E, Hart MA, Webb GD, Therrien J. Pulmonary thrombosis in adults with Eisenmenger syndrome. J Am Coll Cardiol. 2003;42(11):1982-1987. doi: 10.1016/j.jacc.2003.07.022.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8. Hjortshøj CMS, Kempny A, Jensen AS, et al. Past and current cause-specific mortality in Eisenmenger syndrome. Eur Heart J. 2017;38(26):2060-2067. doi: 10.1093/eurheartj/ehx201.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
