López Mínguez J R, Cobos Gil M A, García de Andoain Rays J M, Alvarez Suárez-Barcenas J M, Merchán Herrera A, Fernández Mora G, Alonso Ruiz F
Departamento de Medicina Interna, Hospital Infanta Cristina, INSALUD, Badajoz.
Rev Clin Esp. 1991 Jun;189(2):78-81.
A case is presented of a pulmonary thromboembolism secondary to detachment of an elongated and mobile thrombus in right atrium, identified by bidimensional echocardiography in a patient without previously identified cardiac pathology. The presence of pulmonary thromboembolism in this patient was confirmed by lung angiography. In-spite of anticoagulant treatment, the patient died four days later due to massive pulmonary embolism, before a surgery could be carried out, coinciding with the disappearance of the right atrium thrombus by bidimensional echocardiography. The echocardiographic characteristics of right atrium thromboembolisms are described as well as their differential diagnosis and the most appropriate therapeutic attitude in these cases based in a literature review.
本文报告一例继发于右心房内细长活动血栓脱落的肺血栓栓塞病例，该病例经二维超声心动图在一名既往无明确心脏病变的患者中得以确诊。该患者的肺血栓栓塞通过肺血管造影得以证实。尽管进行了抗凝治疗，但患者在手术前因大面积肺栓塞于四天后死亡，此时二维超声心动图显示右心房血栓已消失。基于文献综述，本文描述了右心房血栓栓塞的超声心动图特征、鉴别诊断以及这些病例中最合适的治疗方法。
