Panduranga Prashanth, Mukhaini Mohammed, Saleem Muhammad, Al-Delamie Taha, Zachariah Sunny, Al-Taie Saqar
Department of Cardiology, Royal Hospital, Muscat, Oman.
Heart Views. 2010 Mar;11(1):16-20.
Splanchnic vein thrombosis in patients with polycythemia rubra vera is well-known. Development of mobile right heart thrombus in these patients has not been reported previously. We describe a young patient with Polycythemia rubra vera and splanchnic vein thrombosis with ischemic bowel who underwent small bowel resection. He developed a large mobile right atrial thrombus and bilateral pulmonary embolism. He also had upper gastrointestinal bleed. His management was complicated and challenging due to multiple risk factors and co-morbid conditions. Thrombolysis was contraindicated and he refused surgical intervention. He was treated with anticoagulation with complete resolution of right atrial thrombus.
真性红细胞增多症患者发生内脏静脉血栓形成是众所周知的。此前尚未有这些患者发生可移动性右心血栓的报道。我们描述了一名患有真性红细胞增多症和内脏静脉血栓形成并伴有缺血性肠病的年轻患者，该患者接受了小肠切除术。他出现了一个巨大的可移动性右心房血栓和双侧肺栓塞。他还发生了上消化道出血。由于多种危险因素和合并症，他的治疗复杂且具有挑战性。溶栓治疗存在禁忌，且他拒绝手术干预。他接受了抗凝治疗，右心房血栓完全溶解。
