Perdigão C, Tuna J L, Andrade A, Pais F, Monteiro A P, Ribeiro C
Rev Port Cardiol. 1989 Feb;8(2):111-7.
Two cases of pulmonary embolism with lethal course in the setting of acute myocardial infarction are presented. Both cases are clinically characterized by a late pulmonary embolism occurrence (2nd and 3rd week, respectively), and the presence of a large infarct, heart failure during acute myocardial infarction evolution and the interruption of anticoagulant therapy due to a complication. From the anatomic point of view, both cases had large hearts and very large biventricular infarctions. On the other hand, deep venous plexus constituted the pulmonary embolism origin in one case, and right ventricular thrombosis in the other.
本文报告了两例急性心肌梗死背景下发生致命性病程的肺栓塞病例。两例病例的临床特征均为肺栓塞发生较晚(分别为第2周和第3周),存在大面积梗死,急性心肌梗死进展过程中出现心力衰竭,且因并发症中断抗凝治疗。从解剖学角度来看,两例病例均心脏增大,双心室梗死面积很大。另一方面,一例肺栓塞起源于深静脉丛,另一例起源于右心室血栓形成。