Podroužková Helena, Horváth Vladimír, Hlinomaz Ota, Bedan Jan, Bambuch Miroslav, Němec Petr, Orban Marek
International Clinical Research Center, Brno, Czech Republic.
International Clinical Research Center, Brno, Czech Republic; Center of Cardiovascular Surgery and Organ Transplantation, Brno, Czech Republic.
Ann Thorac Surg. 2014 Dec;98(6):e151-2. doi: 10.1016/j.athoracsur.2014.08.072. Epub 2014 Dec 1.
An impending paradoxical embolism is a rare finding, with fewer than 200 cases being documented so far. A 68-year-old woman, who presented with 3 weeks of increasing exertional dyspnea and exercise intolerance, underwent transesophageal echocardiography with a finding of an embolus in both right and left atria. At an emergent cardiac surgery, a worm-shaped, 5-cm-long thrombus was found in the right atrium, it was protruding to left atrium through the foramen ovale. The thrombus was removed intact, and the foramen ovale was closed. By our experience, an emergent cardiac surgery should always be considered as a treatment option for impending paradoxical embolism.
即将发生的反常栓塞是一种罕见的发现，迄今为止记录在案的病例不到200例。一名68岁女性，出现进行性劳力性呼吸困难和运动不耐受3周，接受经食管超声心动图检查，发现左右心房均有栓子。在急诊心脏手术中，在右心房发现一个蠕虫状、长5厘米的血栓，它通过卵圆孔突入左心房。完整取出血栓，并封闭卵圆孔。根据我们的经验，急诊心脏手术应始终被视为即将发生的反常栓塞的一种治疗选择。
