Aşilioğlu Nazik, Paksu Muhammet Sükrü, Sungur Metin, Demirel Soner
Division of Pediatric Critical Care, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.
Pediatr Emerg Care. 2012 Jun;28(6):566-7. doi: 10.1097/PEC.0b013e318258bded.
Intracardiac thrombus is a rare condition in children, although there has recently been an increase in case reports in the literature. We here report an asymptomatic intracardiac thrombus caused by blunt trauma due to child abuse in a 4-year-old girl. On the echocardiogram, one can see pericardial fluid surrounding all of the heart, and a mobile mass, a thrombus of 5.8 × 9 mm in diameter, was observed in the right atrium and on the free border of the tricuspid valve. The thrombus and pericardial fluid disappeared on the follow-up echocardiogram performed after the 10-day heparin therapy.
心内血栓在儿童中是一种罕见的病症，尽管最近文献中的病例报告有所增加。我们在此报告一名4岁女童因虐待儿童导致钝性创伤引发的无症状心内血栓。在超声心动图上，可以看到心脏周围有心包积液，并且在右心房和三尖瓣游离缘观察到一个活动的团块，即直径为5.8×9毫米的血栓。在进行10天肝素治疗后进行的随访超声心动图检查中，血栓和心包积液消失了。
