Department of Cardiac Surgery, Ruijin Hospital, Shanghai Jiaotong University, Shanghai, Peoples Republic of China.
Ann Thorac Surg. 2011 Dec;92(6):2263-6. doi: 10.1016/j.athoracsur.2011.05.108.
In this case report, we illustrate our experience with a patient simultaneously suffering from rheumatic mitral valve stenosis and pulmonary thromboembolism who successfully underwent mitral valve replacement and pulmonary thromboendarterectomy. Physical examination and transthoracic echocardiography revealed mitral stenosis, atrial fibrillation, and a large thrombus in the left atrium. The preoperative workup led to the diagnosis of pulmonary thromboembolism. This case emphasizes the importance of preoperative evaluation for pulmonary thromboembolism in symptomatic patients with mitral valve stenosis and atrial fibrillation.
在本病例报告中，我们展示了一位同时患有风湿性二尖瓣狭窄和肺血栓栓塞症的患者的治疗经验，该患者成功接受了二尖瓣置换和肺动脉血栓内膜切除术。体格检查和经胸超声心动图显示二尖瓣狭窄、心房颤动和左心房内的一个大血栓。术前检查提示肺血栓栓塞症的诊断。本病例强调了对有症状的二尖瓣狭窄和心房颤动患者进行术前肺血栓栓塞症评估的重要性。
