Holm Jakob, Taskiran Mustafa, Nielsen Tonni
Medicinsk Afdeling, Køge Sygehus, Lykkebækvej 1, Køge.
Ugeskr Laeger. 2012 Sep 24;174(39):2310-1.
We report a case with peripheral embolisation as the primary symptom of a painless myocardial infarction with left ventricular mural thrombosis. The patient was suffering from severe pain in his leg due to arterial occlusion. Subsequent electrocardiography and echocardiography documented severe damage to the left ventricle and a big motile mural thrombosis. A coronary angiography showed subtotal occlusion of the left descending artery. Patients presenting with peripheral thromboembolic episodes should be examined for cardiac cause even in the absence of cardiac symptoms.
我们报告一例以周围栓塞为无痛性心肌梗死合并左心室壁血栓形成的主要症状的病例。患者因动脉闭塞而腿部剧痛。随后的心电图和超声心动图显示左心室严重受损及一个大的活动壁血栓。冠状动脉造影显示左前降支次全闭塞。即使没有心脏症状，出现周围血栓栓塞发作的患者也应检查心脏病因。
