Holman W L, Coghlan C H, Dodson M R, Balal R, Nanda N C
Division of Cardiothoracic Surgery, University of Alabama, Birmingham.
Ann Thorac Surg. 1991 Aug;52(2):313-5. doi: 10.1016/0003-4975(91)91364-2.
Formation of massive right atrial thrombi around a peritoneovenous shunt is a known complication of these devices. Removal of an obstructive right atrial thrombus requires cardiopulmonary bypass and has been associated with a high morbidity and mortality. Transesophageal echocardiography was used in this case to diagnose and guide the surgical removal of a massive right atrial thrombus.
腹膜静脉分流周围形成巨大右房血栓是这些装置已知的一种并发症。清除阻塞性右房血栓需要体外循环,且与高发病率和死亡率相关。本例中使用经食管超声心动图来诊断并指导手术清除巨大右房血栓。