Deleuze P, Saada M, De Paulis R, Brochard L, Mazzucotelli J P, Rotman N, Loisance D Y, Cachera J P
Department of Cardiac Surgery, Hospital Henri Mondor, Creteil, France.
Ann Thorac Surg. 1991 Jul;52(1):137-8. doi: 10.1016/0003-4975(91)91439-3.
This case report describes a patient with massive pulmonary embolism and acute circulatory failure in whom transesophageal echocardiography permitted the diagnosis of thrombi in the main pulmonary truncus and in the right branch and guided intraoperatively the surgical embolectomy performed under simple venous inflow occlusion because of a contraindication to heparin administration. Transesophageal echocardiography seems to be a very helpful technique to diagnose promptly massive pulmonary embolism and a very useful tool at the time of operation to guide the embolectomy.
本病例报告描述了一名患有大面积肺栓塞和急性循环衰竭的患者，经食管超声心动图检查确诊主肺动脉干和右分支有血栓，并在术中因肝素使用禁忌而采用简单静脉血流阻断的情况下，指导了手术取栓。经食管超声心动图似乎是一种非常有助于快速诊断大面积肺栓塞的技术，也是手术时指导取栓的非常有用的工具。
