Galrinho Ana, Cruz Teresa, Loureiro José
Laboratório de Ecocardiografia da Unidade de Intervenção Vascular e Serviço 2 do Hospital Curry Cabral, Lisboa.
Rev Port Cardiol. 2003 Apr;22(4):531-40.
The authors describe a case of a patient with inoperable bladder cancer, who was admitted with syncope and arterial hypotension. After examination, an echocardiogram was requested, which showed a free-floating thrombus in the right atrium and dilatation of the right chambers. A diagnosis of pulmonary embolism was made, and heparin was started. The patient's clinical status worsened, with development of severe pulmonary hypertension due to the presence of large thrombi in the right and left pulmonary arteries. Despite a recent hemorrhagic event related to the bladder cancer, thrombolytic therapy was begun with improvement of the patient. The final echocardiogram was almost normal, without pulmonary hypertension and no dilatation of the right chambers.
作者描述了一例无法手术的膀胱癌患者，该患者因晕厥和动脉低血压入院。检查后，进行了超声心动图检查，结果显示右心房有一个游离血栓，右心腔扩张。诊断为肺栓塞，并开始使用肝素治疗。由于左右肺动脉存在大量血栓，患者的临床状况恶化，出现了严重的肺动脉高压。尽管近期有与膀胱癌相关的出血事件，但仍开始进行溶栓治疗，患者病情有所改善。最终的超声心动图结果几乎正常，无肺动脉高压，右心腔也未扩张。
