Puram B, Maley T J, White N M, Rotman H H, Miller G
VA Medical Center, Asheville, NC 28805-2087.
Chest. 1990 Dec;98(6):1510-1. doi: 10.1378/chest.98.6.1510.
A paraplegic patient who underwent the placement of Greenfield filters to prevent pulmonary emboli had one of the filters migrate proximally to the junction of the inferior vena cava and right atrium, then into the right atrium a few months later. This resulted in an acute myocardial infarction by apparently causing an intimal dissection of the posterior descending artery. Treatment, follow-up and causes of filter migration are discussed.
一名接受格林菲尔德滤器置入术以预防肺栓塞的截瘫患者,其中一个滤器向近端迁移至下腔静脉与右心房的交界处,几个月后进入右心房。这显然导致了后降支动脉内膜剥离,进而引发急性心肌梗死。文中讨论了治疗、随访及滤器迁移的原因。