Ahdout D J, Damani P M, Ultan L B
University of California, Irvine Medical Center, NJ, Orange 92668.
Chest. 1989 Sep;96(3):682-4. doi: 10.1378/chest.96.3.682.
Left ventricular mural thrombi are a common complication of myocardial infarction, but right-sided mural thrombi have been reported only in blunt chest trauma, right ventricular catheterization, and pacemaker insertion. We describe a patient with AMI and subsequent right ventricular mural thrombi and ultimately pulmonary emboli. We believe a prospective study should be conducted first to evaluate the MI as a cause of right-sided mural thrombi and second to assess the right ventricle as a source of pulmonary emboli.
左心室壁血栓是心肌梗死的常见并发症,但右侧壁血栓仅在钝性胸部创伤、右心室导管插入术和起搏器植入术中被报道过。我们描述了一名患有急性心肌梗死并随后出现右心室壁血栓及最终发生肺栓塞的患者。我们认为首先应进行一项前瞻性研究,以评估心肌梗死作为右侧壁血栓的病因,其次评估右心室作为肺栓塞来源的情况。