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Reminder of important clinical lesson
Massive epistaxis in a patient with Eisenmenger syndrome: illustrating the clot-versus-bleed conundrum
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  • Published on:
    Erythrocytosis versus polycythaemia in Eisenmenger syndrome: not a conundrum
    • Matina Prapa, Doctor
    • Other Contributors:
      • Gerhard P. Diller, Lorna Swan, Michael A. Gatzoulis and Konstantinos Dimopoulos

    We should comment on the case report by Liu et al. highlighting the difficulties in treating patients with Eisenmenger syndrome(1). The haematological complications of cyanotic congenital heart disease are well described in literature, since the systematic description of the condition by Paul Wood in 1958(2). This paradoxical state of affair between bleeding and thrombotic diathesis continues to puzzle us. Bleeding, typical...

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