Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
Division of Cardiology, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Echocardiography. 2021 Oct;38(10):1847-1850. doi: 10.1111/echo.15219. Epub 2021 Oct 21.
An 86-year-old man with end-stage renal disease on hemodialysis with an arteriovenous fistula in his left upper extremity presented to his hemodialysis session with thrombosis of his arteriovenous fistula. The patient underwent surgical thrombectomy. The patient later showed evidence of peripheral embolization and livedo reticularis. Transthoracic and transesophageal echocardiograms revealed a large thrombus (5 × 2 cm) in the right atrium prolapsing to the left atrium via a patent foramen ovale and another thrombus adherent to the apical wall of the right ventricle. The thrombus in the left atrium was intermittently crossing the mitral valve and entering the left ventricle.
一位 86 岁的男性，患有终末期肾病，在其左上臂有动静脉瘘，在进行血液透析时出现了动静脉瘘血栓形成。患者接受了手术血栓切除术。随后，患者出现了周围栓塞和网状青斑的迹象。经胸超声心动图和经食管超声心动图显示，右心房内有一个大血栓（5×2 厘米），通过卵圆孔未闭（PFO）进入左心房，并在右心室心尖壁附着另一个血栓。左心房内的血栓间歇性穿过二尖瓣进入左心室。
