脑梗死合并升主动脉活动血栓后发生急性肺栓塞。
Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta.
作者信息
Nakajima Masato, Tsuchiya Koji, Honda Yoshihiro, Koshiyama Hiroshi, Kobayashi Tatsuho
机构信息
Department of Cardiovascular Surgery, Yamanashi Central Hospital, Fujimi, Kofu, Japan.
出版信息
Gen Thorac Cardiovasc Surg. 2009 Dec;57(12):654-6. doi: 10.1007/s11748-009-0444-y.
Although the causes of stroke are diverse, thromboembolism due to a mobile aortic thrombus is rare. We describe a surgical case of acute massive pulmonary embolism after critical cerebral infarction associated with a mobile ascending aortic thrombus in a 52-year-old woman. Concomitant surgical removal of the aortic thrombus and pulmonary embolectomy was performed successfully, and the patient has been stable without recurrent thromboembolic complications after 18 months of follow-up.
尽管中风的病因多种多样，但由可移动的主动脉血栓导致的血栓栓塞却很罕见。我们描述了一例52岁女性患者，在发生严重脑梗死并伴有可移动的升主动脉血栓后，出现急性大面积肺栓塞的外科手术病例。成功地同时进行了主动脉血栓切除术和肺栓子切除术，在18个月的随访后，患者病情稳定，未出现复发性血栓栓塞并发症。
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