Lee K S, Pashkow F J, Homa D A, Salcedo E E
Cleveland Clinic Foundation, Department of Cardiology, OH 44195.
J Am Soc Echocardiogr. 1992 Sep-Oct;5(5):541-3. doi: 10.1016/s0894-7317(14)80045-x.
Right atrial thrombi represent pulmonary emboli in transit, and they may be fatal in patients treated conservatively with anticoagulation. This case provides an opportunity to review echocardiographic findings and management decisions in this disease entity. As the literature now favors thrombolytic therapy in suitable patients, we present a case in which transthoracic echocardiography provided rapid assessment of the outcome of this form of therapy.
右心房血栓代表正在形成的肺栓塞,对于接受抗凝保守治疗的患者可能是致命的。本病例为回顾这一疾病实体的超声心动图表现及治疗决策提供了契机。由于目前文献支持对合适的患者采用溶栓治疗,我们呈现一例经胸超声心动图快速评估这种治疗方式疗效的病例。