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即将发生的矛盾栓塞。

Impending Paradoxical Embolism.

机构信息

Department of Echocardiography, Asia Heart Hospital, Wuhan, P.R. China.

Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan University of Science and Technology, Wuhan, P.R. China.

出版信息

Ann Thorac Surg. 2019 Aug;108(2):e73-e75. doi: 10.1016/j.athoracsur.2019.01.011. Epub 2019 Feb 11.

DOI:10.1016/j.athoracsur.2019.01.011
PMID:30763556
Abstract

Impending paradoxical embolism (IPDE) is the presence of a thrombus in the patent foramen ovale. Usually, IPDE is diagnosed by echocardiography or a multislice computed tomography scan and is performed during the evaluation of a patient presenting with suspected pulmonary embolism. We report 2 patients who presented with IPDE and were successfully treated with cardiac surgery and thrombolytic therapy. Thus, we focus our discussion on the diagnosis and treatment modalities of this rare entity.

摘要

即将发生的矛盾性栓塞(IPDE)是卵圆孔未闭中的血栓。通常,IPDE 通过超声心动图或多层计算机断层扫描诊断,并在疑似肺栓塞患者的评估中进行。我们报告了 2 例 IPDE 患者,他们成功地接受了心脏手术和溶栓治疗。因此,我们重点讨论了这种罕见实体的诊断和治疗方法。

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引用本文的文献

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Transesophageal echocardiography as the final defense in impending paradoxical embolism: a case report.经食管超声心动图作为即将发生反常栓塞的最后防线:一例报告
J Cardiothorac Surg. 2025 Apr 18;20(1):212. doi: 10.1186/s13019-025-03386-x.
2
Pulmonary embolism with thrombus in transit across a patent foramen ovale.伴有经未闭卵圆孔移动血栓的肺栓塞。
Oxf Med Case Reports. 2024 Aug 23;2024(8):omae091. doi: 10.1093/omcr/omae091. eCollection 2024 Aug.
3
Successful surgical treatment of impending paradoxical embolism with pulmonary embolism and myocardial infarction.
成功手术治疗伴肺栓塞和心肌梗死的即将发生的矛盾性栓塞。
J Cardiothorac Surg. 2024 Mar 19;19(1):137. doi: 10.1186/s13019-024-02606-0.
4
Successful surgical treatment of clot in transit with impending paradoxical embolism: A case report.成功手术治疗伴有即将发生矛盾栓塞的移动性血栓:病例报告
JTCVS Tech. 2020 Jul 31;4:140-142. doi: 10.1016/j.xjtc.2020.07.019. eCollection 2020 Dec.
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Impending paradoxical embolism.即将发生的反常栓塞。
J Cardiol Cases. 2020 Dec 4;24(1):20-22. doi: 10.1016/j.jccase.2020.11.021. eCollection 2021 Jul.
6
Concomitant acute myocardial infarction and acute pulmonary embolism caused by paradoxical embolism: a case report.由反常栓塞引起的同时急性心肌梗死和急性肺栓塞:一例报告。
BMC Cardiovasc Disord. 2021 Jun 24;21(1):313. doi: 10.1186/s12872-021-02123-1.