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卵圆孔内的嵌顿血栓导致肺栓塞,行急诊手术治疗。文献综述。

Entrapped thrombus in a foramen ovale causing pulmonary emboli treated with emergent surgery. Literature review.

作者信息

Prifti Edvin, Nuellari Edmond, Doko Albana

机构信息

Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.

出版信息

Heart Surg Forum. 2014 Dec;17(6):E293-5. doi: 10.1532/HSF98.2014438.

Abstract

A 60-year-old woman was admitted due to massive bilateral pulmonary thromboembolism and entrapped thrombus in the patent foramen ovale and severe right ventricular dysfunction. The patient underwent on-pump/beating heart removal of the intracardiac thrombus and bilateral pulmonary embolectomy. The postoperative course was uneventful. The chosen surgical strategy seems to offer excellent outcome in patients with severe right ventricular dysfunction.

摘要

一名60岁女性因双侧大面积肺血栓栓塞、卵圆孔未闭内血栓嵌顿及严重右心室功能障碍入院。该患者接受了体外循环/心脏不停跳下的心内血栓清除术及双侧肺动脉血栓切除术。术后过程顺利。所选择的手术策略似乎为严重右心室功能障碍患者提供了良好的治疗效果。

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