Sans P, Provansal D, Balansard P, Gérard R
Arch Mal Coeur Vaiss. 1985 Apr;78(4):650-2.
Echocardiography may be used in patients presenting with pulmonary embolism to visualise the right heart. The authors report the case of a patient who had recurrent pulmonary embolism. Echocardiography demonstrated a large, mobile thrombus moving freely through the tricuspid valve. There were many cardiac and general contraindications to surgery and fibrinolytic therapy in this particular case. Nevertheless, the mass had totally disappeared on control echocardiography after anticoagulant therapy with heparin. There were no further embolic symptoms. The only change was observed on pulmonary scintigraphy. The patient was discharged a few weeks later on oral anticoagulant therapy. In comparison with previously published results, the outcome of this case was surprisingly good; surgery, which was impossible in our case, would seem to be the treatment of choice.
超声心动图可用于患有肺栓塞的患者以观察右心情况。作者报告了一例复发性肺栓塞患者的病例。超声心动图显示一个大的、可移动的血栓自由通过三尖瓣。在这个特殊病例中，存在许多手术和纤维蛋白溶解疗法的心脏及全身方面的禁忌证。然而，在使用肝素进行抗凝治疗后，复查超声心动图时血栓团已完全消失。此后未再出现栓塞症状。仅在肺闪烁扫描上观察到了变化。患者在几周后接受口服抗凝治疗出院。与先前发表的结果相比，该病例的结果出奇地好；在我们的病例中无法进行的手术似乎是首选治疗方法。
