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房间隔缺损修补术后右心房血栓和肺栓塞。

Right atrial thrombosis and pulmonary embolism after atrial septal defect repair.

机构信息

Department of Pediatric Cardiac Surgery, University Hospitals Virgen del Rocío, Manuel Siurot Avenue, 41013 Seville, Spain.

出版信息

Eur J Cardiothorac Surg. 2012 Jan;41(1):224-5. doi: 10.1016/j.ejcts.2011.05.035.

DOI:10.1016/j.ejcts.2011.05.035
PMID:21704527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3241109/
Abstract

A 3-year-old boy underwent surgical closure of a large ostium secundum atrial septal defect. This was complicated with extensive right atrial thrombus formation and pulmonary thromboembolism immediately following surgery. He was managed with emergency surgical thromboembolectomy and anticoagulation. However, new thrombus was formed again immediately. This prompted us to add thrombolysis to his treatment, but with no effect. He died on the fifth postoperative day. A postmortem study confirmed extensive thromboembolism.

摘要

一名 3 岁男孩接受了大型继发孔房间隔缺损的手术闭合。手术后立即出现广泛的右心房血栓形成和肺血栓栓塞。他接受了紧急外科血栓切除术和抗凝治疗。然而,新的血栓再次立即形成。这促使我们在他的治疗中加入溶栓治疗,但没有效果。他在术后第五天死亡。尸检研究证实了广泛的血栓栓塞。

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本文引用的文献

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Large thrombus at the site of primary sutured atrial septal defect associated with pulmonary embolism and treatment by thrombolysis.
Echocardiography. 2003 Aug;20(6):535-8. doi: 10.1046/j.1540-8175.2003.03091.x.
6
Intra-atrial thrombus after surgical closure of patent foramen ovale.卵圆孔未闭手术闭合后心房内血栓形成。
J Am Soc Echocardiogr. 2001 Jan;14(1):63-6. doi: 10.1067/mje.2001.108539.
7
Fatal pulmonary embolism after atrial septal defect closure in a paediatric patient.一名儿科患者房间隔缺损封堵术后发生致命性肺栓塞。
Scand Cardiovasc J. 1999;33(3):187-8. doi: 10.1080/14017439950141858.
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The European Cooperative Study on the clinical significance of right heart thrombi. European Working Group on Echocardiography.欧洲右心血栓临床意义合作研究。欧洲超声心动图工作组。
Eur Heart J. 1989 Dec;10(12):1046-59. doi: 10.1093/oxfordjournals.eurheartj.a059427.