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[患有慢性恰加斯心脏病、肝脾血吸虫病和获得性免疫缺陷综合征的患者:右心室血栓可能自发溶解]

[Patient with chronic Chagas heart disease, hepatosplenic schistosomiasis and acquired immunodeficency syndrome: possible spontaneous resolution of thrombus in the right ventricle].

作者信息

Rocha Manoel Otávio da Costa, Barbosa Felipe Batista Lima, Martins Maria Auxiliadora Parreiras, Nunes Maria do Carmo Pereira

机构信息

Programa de Pós-Graduação em Ciências da Saúde-Infectologia e Medicina Tropical, Universidade Federal de Minas Gerais, Belo Horizonte, MG.

出版信息

Rev Soc Bras Med Trop. 2012 Mar-Apr;45(2):263-5. doi: 10.1590/s0037-86822012000200025.

Abstract

The presence of right-sided cardiac thrombi seems to increase the risk of death due to thromboembolic events. There is a discrepancy, however, between the prevalence of cardiac thrombus and clinical thromboembolic events. Besides, the individual characteristics associated with a high risk of mortality have not been established. We present here a case report of a patient with mansonic schistosomiasis and acquired immunodeficiency syndrome and chronic Chagas disease, who presents with a large thrombus in the right ventricle. The patient had uneventful evolution without any thromboembolic complications with resolution of right-ventricle thrombus.

摘要

右侧心脏血栓的存在似乎会增加因血栓栓塞事件导致死亡的风险。然而,心脏血栓的患病率与临床血栓栓塞事件之间存在差异。此外,与高死亡风险相关的个体特征尚未明确。我们在此报告一例患有曼氏血吸虫病、获得性免疫缺陷综合征和慢性恰加斯病的患者,其右心室出现一个大血栓。该患者病情平稳,右心室血栓溶解,未发生任何血栓栓塞并发症。

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