双侧肺动脉栓塞与右心房血栓并存 1 例报告

A Unique Case of Co-Occurrence of Bilateral Pulmonary Artery Embolism and Right Atrium Thrombus.

机构信息

Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA.

出版信息

Am J Med Sci. 2021 Jun;361(6):786-790. doi: 10.1016/j.amjms.2020.09.012. Epub 2020 Sep 28.

DOI:10.1016/j.amjms.2020.09.012

Abstract

Pulmonary embolism (PE) is considered a major cause of morbidity and mortality in both inpatient and outpatient settings. PE can be presented in different clinical pictures. However, the association between PE and right atrial thrombus is not frequently reported. PE is categorized based on size, location and clinical presentation. Although management changes between different PE sub-types, optimal medical therapy is not well established for coexisting PE with right atrial thrombus. Herein, we present a unique case of a 58-year-old male with bilateral PE and atrial thrombus, with no known underlying risk factors.

摘要

肺栓塞（PE）被认为是住院和门诊患者发病率和死亡率的主要原因。PE 可表现为不同的临床症状。然而，PE 与右心房血栓之间的关联并不常见。PE 根据大小、位置和临床表现进行分类。尽管不同类型 PE 的管理方式有所不同，但对于同时存在的 PE 伴右心房血栓，尚未确定最佳的药物治疗方案。在此，我们报告了一例 58 岁男性的独特病例，该患者患有双侧 PE 和心房血栓，无已知的潜在危险因素。