骑跨于卵圆孔未闭处的血栓与大面积肺栓塞
Thrombus straddling patent foramen ovale and massive pulmonary embolism.
作者信息
Panthee Nirmal, Koirala Raamesh, Rajbhandari Nivesh, Pradhan Sidhartha
机构信息
Department of Cardiac Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.
出版信息
Indian J Thorac Cardiovasc Surg. 2020 Nov;36(6):635-638. doi: 10.1007/s12055-020-01003-1. Epub 2020 Jul 21.
Abstract
A thrombus straddling the foramen ovale is rare; and optimal management is controversial. Most of the literature on this topic is available only in the form of case reports. Here, we present a case of 30-year-old female with recent history of fibular fracture and thrombus in transit through patent foramen ovale and massive pulmonary embolism who was successfully managed with pulmonary embolectomy, extraction of serpentine thrombus straddling patent foramen ovale, and closure of patent foramen ovale.
摘要
骑跨卵圆孔的血栓很少见；最佳治疗方法存在争议。关于这个主题的大多数文献仅以病例报告的形式存在。在此，我们报告一例30岁女性病例，该患者近期有腓骨骨折史，存在通过开放卵圆孔的移行血栓及大面积肺栓塞，经肺栓子切除术、取出骑跨开放卵圆孔的蜿蜒血栓及闭合开放卵圆孔后成功治愈。
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本文引用的文献
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Neither Here nor There: Intracardiac Thrombus in Transit Wedged in a Patent Foramen Ovale.非此非彼：游走于心脏内的血栓楔入卵圆孔未闭处
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