Galal O, Schleicher G, Klüting N, Galal I, Kalff R
Klinik und Poliklinik für Kinder- und Jugendmedizin, Universität Essen.
Monatsschr Kinderheilkd. 1989 Feb;137(2):98-100.
We report the case of a 2.7 year old boy with ventriculoatrial Pudenz Heyer shunt for hydrocephalus internus presenting with symptoms suggestive of shunt infection. 2D-echocardiography showed a pedunculated right atrial thrombus that prolapsed through the tricuspid valve in diastole. Scintigraphy of the lungs showed multiple defects suggestive of embolism. The thrombus was excised after exploratory surgery with cardiopulmonary bypass. No organisms could be isolated from the thrombus. In ventriculo-atrial Pudenz Heyer shunt thrombi and embolism are possible complications. The regular use of 2D-echocardiography in order to detect these thrombi at a very early stage is discussed.
我们报告了一例2.7岁男孩的病例，该男孩因梗阻性脑积水接受了脑室-心房Pudenz Heyer分流术，出现了提示分流感染的症状。二维超声心动图显示有一个带蒂的右心房血栓，在舒张期通过三尖瓣脱垂。肺部闪烁扫描显示多个缺损，提示有栓塞。在体外循环下进行探查手术后切除了血栓。血栓中未分离出微生物。在脑室-心房Pudenz Heyer分流术中，血栓形成和栓塞是可能的并发症。讨论了定期使用二维超声心动图以便在极早期检测这些血栓的问题。
