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游走的血栓:栓子迁徙致脑、心冠状动脉和肺栓塞

A Thrombus on a Journey: A Massive Thrombus in Transit With Cerebral, Coronary, and Pulmonary Embolization.

机构信息

Service de cardiologie, Centre hospitalier d'Avignon, Avignon, France; Laboratoire de pharm-écologie-cardiovasculaire, Avignon Université, Avignon, France.

Service de cardiologie, Centre hospitalier d'Avignon, Avignon, France.

出版信息

Can J Cardiol. 2021 Aug;37(8):1281-1282. doi: 10.1016/j.cjca.2020.11.002. Epub 2020 Nov 16.

Abstract

Impending paradoxical embolism is a biatrial thrombus in transit across a patent foramen ovale. It constitutes a rare clinical condition, possibly associated with multiple embolization and high mortality. We report the exceptional case of a 71-year-old-man presenting a giant impending paradoxical thrombus, complicated with pulmonary, cerebral, and coronary embolization. The patient underwent urgent surgery and was finally discharged without complications.

摘要

即将发生的矛盾性栓塞是卵圆孔未闭(PFO)中穿过的双心房血栓。这是一种罕见的临床情况,可能与多发栓塞和高死亡率有关。我们报告了一例 71 岁男性的罕见病例,该患者表现为巨大的即将发生的矛盾性血栓,并伴有肺、脑和冠状动脉栓塞。患者接受了紧急手术,最终无并发症出院。

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