Department of Cardiovascular Surgery, Ishikiriseiki Hospital, Higashiosaka, Japan.
Ann Thorac Surg. 2011 Sep;92(3):e43-5. doi: 10.1016/j.athoracsur.2011.03.135.
This case report concerns a 59-year-old man with acute myocardial infarction associated with a giant organized thrombus occupying the right sinus of Valsalva that developed into chest pain and bradycardia. Magnetic resonance imaging showed low intensity in both T1-weighted and T2-weighted images, indicating that the mass was a thrombus. A direct approach involving grafting effectively resolved the embolization and myocardial ischemia, even during the subacute period.
本病例报告涉及一名 59 岁男性，因急性心肌梗死伴占据右房室窦的巨大机化血栓而出现胸痛和心动过缓。磁共振成像显示 T1 加权和 T2 加权图像均呈低信号，表明该肿块为血栓。直接介入治疗包括移植术可有效解决栓塞和心肌缺血问题，即使在亚急性期也是如此。
