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移动性右心血栓：两例系列报道。

Right heart thrombus in transit: a series of two cases.

作者信息

Otoupalova Eva, Dalal Bhavinkumar, Renard Brian

机构信息

Department of Internal Medicine, Oakland University William Beaumont School of Medicine, 3601 W 13 Mile Rd., Royal Oak, MI, 48073, USA.

Department of Pulmonary and Critical Care, Oakland University William Beaumont School of Medicine, 3601 W 13 Mile Rd., Royal Oak, MI, 48073, USA.

出版信息

Crit Ultrasound J. 2017 Dec;9(1):14. doi: 10.1186/s13089-017-0069-9. Epub 2017 Jun 15.

DOI:10.1186/s13089-017-0069-9
PMID:28620869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5472639/
Abstract

Right heart thrombus in transit is an increasingly recognized medical emergency with very high mortality rate. Echocardiography helps to establish the diagnosis and can differentiate between right heart thrombi that result from atrial fibrillation and those originating from deep venous thrombosis. We present two cases of right heart thrombus in transit diagnosed with echocardiography that were managed with different approaches.

摘要

移动性右心血栓是一种越来越被认识到的医疗急症，死亡率极高。超声心动图有助于确诊，并可区分由心房颤动导致的右心血栓和源于深静脉血栓形成的右心血栓。我们报告两例经超声心动图诊断为移动性右心血栓的病例，并采用了不同的处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/39d0eb5c33c1/13089_2017_69_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/e999800d61c3/13089_2017_69_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/8c4f3fa63a72/13089_2017_69_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/301b233aaea6/13089_2017_69_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/39d0eb5c33c1/13089_2017_69_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/e999800d61c3/13089_2017_69_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/8c4f3fa63a72/13089_2017_69_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/301b233aaea6/13089_2017_69_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dc/5472639/39d0eb5c33c1/13089_2017_69_Fig4_HTML.jpg

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Thrombus in transit associated with fatal pulmonary thromboembolism in an elderly Ethiopian man following a surgical procedure: A case report.一名埃塞俄比亚老年男性手术后发生致命性肺血栓栓塞伴移行血栓：病例报告
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Mechanical Thrombectomy for a Clot in Transit With Adherence to the Tricuspid Valve.

本文引用的文献

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Comparative efficacy of different modalities for treatment of right heart thrombi in transit: a pooled analysis.不同治疗方式对右心移行性血栓的疗效比较：一项汇总分析。
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The role of echocardiography in diagnosing space-occupying lesions of the heart.超声心动图在诊断心脏占位性病变中的作用。
机械取栓治疗随血流移动并附着于三尖瓣的血栓
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A Clot in Transit: A Cause of Death or a Bystander?行进中的血栓：死因还是旁观者？
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Cureus. 2022 Jun 12;14(6):e25868. doi: 10.7759/cureus.25868. eCollection 2022 Jun.
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Emergent mechanical thrombectomy for right atrial clot and massive pulmonary embolism using flowtriever.使用Flowtriever对右心房血栓和大面积肺栓塞进行急诊机械取栓术。
Clin Case Rep. 2021 Jan 21;9(3):1241-1246. doi: 10.1002/ccr3.3739. eCollection 2021 Mar.
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Thrombus in Transit: Extract or Dissolve?行进中的血栓：取出还是溶解？
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The European Cooperative Study on the clinical significance of right heart thrombi. European Working Group on Echocardiography.欧洲右心血栓临床意义合作研究。欧洲超声心动图工作组。
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