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卵圆孔未闭患者发生肺栓塞时血栓嵌顿：一例报告

Thrombus entrapped by patent foramen ovale in a patient with pulmonary embolism: a case report.

作者信息

Nam Sang Beom, Kim Chan Mi, Cho Sung-Ah, Chung Sungchan, Shim Yon Hee

机构信息

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2015 Feb;68(1):70-3. doi: 10.4097/kjae.2015.68.1.70. Epub 2015 Jan 28.

DOI:10.4097/kjae.2015.68.1.70
PMID:25664158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4318868/
Abstract

Thrombus-in-transit appears to increase the risk of mortality compared to pulmonary embolism alone and can require alteration in therapeutic plan. We present the case of a biatrial thromboembolus caught in transit across a patent foramen ovale diagnosed by intraoperative transesophageal echocardiogram in a 69-year-old female with acute pulmonary embolism and subsequent acute cerebral infarction. We suggest that echocardiography should be performed in a patient with suspected pulmonary thromboembolism to evaluate right heart function and diagnose emboli in transit.

摘要

与单纯肺栓塞相比，移行性血栓似乎会增加死亡风险，可能需要改变治疗方案。在此，我们报告一例69岁的急性肺栓塞及随后急性脑梗死女性患者，术中经食管超声心动图诊断为伴卵圆孔未闭的双房移行性血栓栓塞。我们建议，对于疑似肺血栓栓塞的患者应进行超声心动图检查，以评估右心功能并诊断移行性栓子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/eff7b58f4eaf/kjae-68-70-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/368b9653d37f/kjae-68-70-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/98c19d1d1dfa/kjae-68-70-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/eff7b58f4eaf/kjae-68-70-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/368b9653d37f/kjae-68-70-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/98c19d1d1dfa/kjae-68-70-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbde/4318868/eff7b58f4eaf/kjae-68-70-g003.jpg

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Clinical differentiation of patent foramen ovale and secundum atrial septal defect: a survey of pediatric cardiologists in Dallas, Texas, USA.卵圆孔未闭与继发孔型房间隔缺损的临床鉴别：对美国得克萨斯州达拉斯市儿科心脏病专家的一项调查
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经卵圆孔未闭处移动的血栓：心脏栓塞的一种罕见病因。
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Large thrombus-in-transit within a patent foramen ovale in a patient with pulmonary embolism: a case report.一名肺栓塞患者卵圆孔未闭内存在大量移动性血栓：病例报告
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