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心房血栓导致的即将发生的反常栓塞:经食管超声心动图正确诊断及手术预防

Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery.

作者信息

Nellessen U, Daniel W G, Matheis G, Oelert H, Depping K, Lichtlen P R

出版信息

J Am Coll Cardiol. 1985 Apr;5(4):1002-4. doi: 10.1016/s0735-1097(85)80449-6.

DOI:10.1016/s0735-1097(85)80449-6
PMID:3973282
Abstract

During recovery from a posterolateral myocardial infarction, a 56 year old patient developed signs of deep vein thrombophlebitis and subsequently of pulmonary embolism. After conventional echocardiography showed masses in both atria, transesophageal two-dimensional echocardiography clearly revealed an elongated mass overriding an atrial septal defect. Impending paradoxical embolism was confirmed at surgery.

摘要

在一名56岁患者从后外侧心肌梗死恢复过程中,出现了深静脉血栓性静脉炎的体征,随后又出现了肺栓塞。常规超声心动图显示两个心房有肿块后,经食管二维超声心动图清楚地显示出一个细长的肿块覆盖在房间隔缺损处。手术证实了即将发生反常栓塞。

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Impending paradoxical embolism from atrial thrombus: correct diagnosis by transesophageal echocardiography and prevention by surgery.心房血栓导致的即将发生的反常栓塞:经食管超声心动图正确诊断及手术预防
J Am Coll Cardiol. 1985 Apr;5(4):1002-4. doi: 10.1016/s0735-1097(85)80449-6.
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[55-year-old woman with deep leg vein thrombosis, lung embolism and floating thrombus in an open foramen ovale of the heart].
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