移动性右心室血栓：提高肺栓塞治疗的风险
Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism.
作者信息
Lai Everett, Alishetti Shudhanshu, Wong Jonathan M, Delic Lejla, Egrie Glenn, Rosenblatt Andrew
机构信息
California Pacific Medical Center, San Francisco, California.
Department of Gynecologic Oncology, California Pacific Medical Center, San Francisco, California.
出版信息
CASE (Phila). 2019 Jul 2;3(6):272-276. doi: 10.1016/j.case.2019.05.006. eCollection 2019 Dec.
• Right heart thrombi are rare and associated with significant mortality. • RV thrombus was complicated by recurrent pulmonary emboli and managed surgically. • Recurrent pulmonary emboli in anticoagulated patients may suggest malignancy. • The optimal treatment for right heart thrombi remains uncertain. • Surgical thrombectomy is an option, but treatment should be individualized.
• 右心血栓罕见且与显著的死亡率相关。
• 右心室血栓并发反复肺栓塞并接受了手术治疗。
• 抗凝治疗患者出现反复肺栓塞可能提示恶性肿瘤。
• 右心血栓的最佳治疗方法仍不确定。
• 手术取栓是一种选择，但治疗应个体化。
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