Kumar Sanjay, Khan Irfan, Milton Richard, Ali Ayyaz A, O'Regan David J
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom.
Ann Thorac Surg. 2005 Jul;80(1):324-6. doi: 10.1016/j.athoracsur.2003.12.097.
We document the case of a 67-year-old woman who presented with a history of right upper quadrant anopia, dyspnea, hypoxemia, and a systolic murmur. An intracardiac embolus wedged at a patent foramen ovale was successfully removed by resecting the atrial septum along with a pulmonary embolectomy on cardiopulmonary bypass. We review the literature with specific focus on the pathogenesis and acute treatment options of this life-threatening occurrence.
我们记录了一名67岁女性的病例，该患者有右上象限视野缺损、呼吸困难、低氧血症和收缩期杂音病史。通过在体外循环下切除房间隔并进行肺动脉栓子切除术，成功移除了卡在卵圆孔未闭处的心脏内栓子。我们回顾了相关文献，特别关注这种危及生命情况的发病机制和急性治疗方案。
