Gosse P, Guez S, Roudaut R, Deville C, Dallocchio M
Clin Cardiol. 1987 May;10(5):370-1. doi: 10.1002/clc.4960100517.
We report the case of a right atrial-ventricular chamber thrombus discovered four years after insertion of a Le Veen shunt for treatment of refractory ascites. A two-dimensional echocardiogram, performed after the discovery of an isolated systolic murmur, demonstrated a "tumorlike" mass seated in both the right atrium and the right ventricle. The mass was surgically removed and histologic examination confirmed that it was a thrombus developed at the tip of the catheter. We propose that two-dimensional echocardiography should be performed periodically for the survey of such intracardiac devices.
我们报告一例在植入Le Veen分流管治疗顽固性腹水四年后发现右心房 - 心室腔血栓形成的病例。在发现孤立性收缩期杂音后进行的二维超声心动图检查显示,在右心房和右心室均有一个“肿瘤样”肿块。该肿块经手术切除,组织学检查证实为导管尖端形成的血栓。我们建议应定期进行二维超声心动图检查以监测此类心内装置。