左心房和心室球形血栓并发风湿性心脏病伴二尖瓣和主动脉瓣联合狭窄。

Left atrial and ventricular ball thrombi complicating rheumatic heart disease with combined mitral and aortic stenosis.

作者信息

Lee A Y, Chang M C, Chen T J, Chang W F

机构信息

Division of Cardiology, Jen Ai Hospital, Tali, Taichung, Taiwan, Republic of China.

出版信息

Echocardiography. 2001 Feb;18(2):159-61. doi: 10.1046/j.1540-8175.2001.00159.x.

DOI:10.1046/j.1540-8175.2001.00159.x

PMID:11262540

Abstract

A 42-year-old woman with chronic mitral stenosis was admitted for progressive dyspnea, palpitation, and weakness of lower extremities. Echocardiography revealed rheumatic, thickened, and stenotic mitral and aortic valves, and two free-floating ball thrombi were detected in the left atrium and ventricle, respectively. She died suddenly the next day, probably due to mitral or aortic outflow obstruction by the ball thrombi. We believe that the occurrence of free-floating ball thrombi in both the left atrium and left ventricle concomitantly has never been reported.

摘要

一名42岁患有慢性二尖瓣狭窄的女性因进行性呼吸困难、心悸和下肢无力入院。超声心动图显示风湿性、增厚且狭窄的二尖瓣和主动脉瓣，并且分别在左心房和左心室内检测到两个游离漂浮的球形血栓。她于次日突然死亡，可能是由于球形血栓导致二尖瓣或主动脉流出道梗阻。我们认为，左心房和左心室同时出现游离漂浮球形血栓的情况此前从未有过报道。