Lécuyer D, Tribouilloy C, Rey J L, Hermida J S, Lombaert M, Bernasconi P
Ann Cardiol Angeiol (Paris). 1986 May;35(5):271-3.
The authors report a case of right auricular and left intraventricular double thrombus involving the tricuspid valve, diagnosed by two-dimensional echocardiography. This double thrombus developed in a male of 54 years presenting dilated cardiomyopathy with heart failure who was admitted as an emergency case due to cerebral embolism. Surgery and fibrinolytic agents were contraindicated and heparin treatment was initiated. The right auricular mass subsided in 24 hours without symptomatology. Only venous pulmonary digitalized angiography showed a moderate defect. Bearing in mind literature reports, the present observation is particularly interesting on three counts: simultaneous double localization, the fortuitous detection of a right auricular clot before development of pulmonary embolism and the rapid subsidence of the thrombus under heparin treatment as wall as the satisfactory progress without symptomatology of pulmonary embolism.
作者报告了一例右心耳和左心室内双血栓累及三尖瓣的病例，该病例通过二维超声心动图诊断。此双血栓发生在一名54岁男性身上，该男性患有扩张型心肌病并伴有心力衰竭，因脑栓塞作为急诊入院。手术和溶栓药物均为禁忌，遂开始肝素治疗。右心耳肿块在24小时内消退且无相关症状。仅静脉肺数字化血管造影显示有中度缺损。鉴于文献报道，本观察在三个方面特别有趣：同时出现的双部位血栓形成、在肺栓塞发生前偶然发现右心耳血栓以及在肝素治疗下血栓迅速消退且肺栓塞未出现症状，病情进展顺利。
