伴有移行性血栓栓塞的急性肺栓塞的快速评估

Rapid evaluation of acute pulmonary embolism with thromboembolism-in-transit.

作者信息

Lee Seok In, Kim Yu Jin, Park Kook Yang, Park Chul-Hyun

机构信息

Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon Cardiovascular Research Institute, Gachon University, Incheon, South Korea.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, South Korea.

出版信息

J Card Surg. 2019 Apr;34(4):202-204. doi: 10.1111/jocs.13992. Epub 2019 Feb 10.

DOI:10.1111/jocs.13992

PMID:30740775

Abstract

We report a case of thromboembolism-in-transit through a patent foramen ovale that could cause systemic embolism in a patient with pulmonary embolism. An accurate and quick diagnosis by transthoracic echocardiography and computed tomography allowed emergent surgical thromboembolectomy to be performed without complications. Integral diagnostic workup should be performed in case of acute pulmonary thromboembolism whether the patient is hemodynamically stable or not.

摘要

我们报告了一例卵圆孔未闭导致的正在发生的血栓栓塞病例，该病例可在肺栓塞患者中引起全身栓塞。经胸超声心动图和计算机断层扫描进行的准确快速诊断，使得能够紧急进行外科血栓切除术且未出现并发症。对于急性肺血栓栓塞患者，无论其血流动力学是否稳定，都应进行完整的诊断检查。