Basarici Ibrahim, Yilmaz Huseyin, Demir Ibrahim, Yalcinkaya Selim
Kardiyoloji Anabilim Dali Sekreterligi, Akdeniz Universitesi Tip Fakültesi, 07070 Antalya, Turkey.
Int J Cardiovasc Imaging. 2006 Feb;22(1):55-8. doi: 10.1007/s10554-005-7438-3. Epub 2005 Dec 14.
Right sided heart thrombi are infrequent and if they are mobile they may cause serious morbidity and mortality due to massive pulmonary embolism or paradoxical embolism. Malignancies are one of the important etiological factors for right heart thrombi. A patient with operated but recurrent ovarian carcinoma, presented with symptoms of heart failure was admitted to oncology department. Rapidly progressing dyspnea and a pre-syncope attack required consultation of a cardiologist and echocardiography revealed a mobile thrombus in the right atrium. Urgent open heart surgery was decided but imminent massive pulmonary embolism complicated the case leading to irreversible cardiogenic shock. By means of the presented case this paper overviews etiological factors and treatment options for right sided heart thrombi.
右侧心脏血栓并不常见，如果它们是可移动的，可能会因大面积肺栓塞或反常栓塞而导致严重的发病率和死亡率。恶性肿瘤是右侧心脏血栓的重要病因之一。一名接受过手术但卵巢癌复发的患者，因出现心力衰竭症状而入住肿瘤科。迅速进展的呼吸困难和一次晕厥前发作需要心内科医生会诊，超声心动图显示右心房有一个可移动的血栓。决定进行紧急心脏直视手术，但即将发生的大面积肺栓塞使病情复杂化，导致不可逆的心源性休克。通过本病例，本文概述了右侧心脏血栓的病因及治疗选择。
