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[一名67岁患有肺动脉栓塞且卵圆孔未闭的女性患者，其四腔心均有血栓形成]

[Thrombus in all four heart chambers in a 67-year-old female patient with pulmonary artery embolism and open foramen ovale].

作者信息

Kherbouche O, Ehrhardt W, Schweneker H, Plentz R R, Graf L P

机构信息

Gastroenterologie, Onkologie, Diabetologie und Kardiologie, Medizinische Klinik, Klinikum Bremen-Nord, Hammersbecker Str. 228, 28755, Bremen, Deutschland.

出版信息

Internist (Berl). 2022 Mar;63(3):321-324. doi: 10.1007/s00108-021-01210-x. Epub 2021 Nov 26.

DOI:10.1007/s00108-021-01210-x
PMID:34825918
Abstract

A 67-year-old woman presented to the emergency department due to acute dyspnea. Computed tomography of the chest showed a pronounced bilateral pulmonary artery embolism. Echocardiography demonstrated a large floating thrombus in the right atrium and right ventricle, which extended through a persistent foramen ovale via the left atrium into the left ventricle. A thrombectomy was later successfully performed.

摘要

一名67岁女性因急性呼吸困难就诊于急诊科。胸部计算机断层扫描显示双侧肺动脉明显栓塞。超声心动图显示右心房和右心室内有一个大的漂浮血栓，该血栓通过持续存在的卵圆孔经左心房延伸至左心室。随后成功进行了血栓切除术。

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本文引用的文献

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National Outcomes of Surgical Embolectomy for Acute Pulmonary Embolism.外科取栓术治疗急性肺栓塞的全国性结局。
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2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).
2019年欧洲心脏病学会（ESC）与欧洲呼吸学会（ERS）合作制定的急性肺栓塞诊断和管理指南。
Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405.
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Eur Heart J. 2020 Jan 21;41(4):522-529. doi: 10.1093/eurheartj/ehz236.
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BMJ Case Rep. 2019 Feb 22;12(2):e229184. doi: 10.1136/bcr-2019-229184.
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Global Burden of Thrombosis: Epidemiologic Aspects.全球血栓形成负担：流行病学方面。
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Thrombosis: a major contributor to global disease burden.血栓形成：全球疾病负担的主要促成因素。
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Right heart thrombi in pulmonary embolism: results from the International Cooperative Pulmonary Embolism Registry.肺栓塞中的右心血栓：国际合作肺栓塞注册研究结果
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