Barriales Vicente, Tamargo José A, Aguado Marcos G, Martín María, Rondán Juan, Segovia Eduardo, Morís César
Int J Cardiol. 2004 Feb;93(2-3):289-91. doi: 10.1016/S0167-5273(03)00153-0.
Floating right heart thrombi can occur in 4-18% of patients with pulmonary embolism. Usually, the diagnosis is done by echocardiography and carries an important prognostic significance as thrombi can embolize at any moment and severe pulmonary embolism is the most frequent way of floating right heart thrombi presentation (mortality rate >40%). We present a case report of floating right thrombi in a patient with proven deep venous thrombosis complicated with nonmassive pulmonary embolism that was successfully treated with thrombolysis.
漂浮性右心血栓可发生于4% - 18%的肺栓塞患者中。通常,通过超声心动图进行诊断,其具有重要的预后意义,因为血栓随时可能发生栓塞,严重肺栓塞是漂浮性右心血栓最常见的表现形式(死亡率>40%)。我们报告一例已证实患有深静脉血栓形成并合并非大面积肺栓塞的患者出现漂浮性右心血栓的病例,该患者经溶栓治疗成功治愈。