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经系列横断面超声心动图显示右心房血栓溶解。

Resolution of right atrial thrombus shown by serial cross sectional echocardiography.

作者信息

Brown A K, Anderson V

出版信息

Br Heart J. 1985 Jun;53(6):659-61. doi: 10.1136/hrt.53.6.659.

DOI:10.1136/hrt.53.6.659
PMID:4005091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481832/
Abstract

A 78 year old woman with congestive cardiac failure developed pulmonary embolism. Cross sectional echocardiography detected an undulating fusiform mass attached to the lateral wall of the right atrium and protruding through the tricuspid valve. Serial cross sectional echocardiograms showed a reduction in the size of the mass, and by three months the mass was immobile and attached by a broad base to the lateral atrial wall. The mass was assumed to be a thrombus, and treatment with heparin and oral anticoagulants appeared to prevent the development of further pulmonary emboli.

摘要

一名78岁的充血性心力衰竭女性发生了肺栓塞。经胸超声心动图检查发现一个起伏的梭形肿块附着于右心房侧壁并经三尖瓣突出。系列经胸超声心动图显示肿块大小缩小,至三个月时肿块固定,以宽基底附着于右心房侧壁。该肿块被推测为血栓,肝素及口服抗凝剂治疗似乎预防了进一步肺栓塞的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a8/481832/0e000f6bf949/brheartj00114-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a8/481832/361ac20d758c/brheartj00114-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a8/481832/0e000f6bf949/brheartj00114-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a8/481832/361ac20d758c/brheartj00114-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58a8/481832/0e000f6bf949/brheartj00114-0076-a.jpg

相似文献

1
Resolution of right atrial thrombus shown by serial cross sectional echocardiography.经系列横断面超声心动图显示右心房血栓溶解。
Br Heart J. 1985 Jun;53(6):659-61. doi: 10.1136/hrt.53.6.659.
2
Intracavitary thrombi in the right heart associated with multiple pulmonary emboli. Report of two patients.右心腔内血栓合并多发性肺栓塞。两例报告。
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3
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Br Heart J. 1985 May;53(5):552-5. doi: 10.1136/hrt.53.5.552.
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Echocardiographic identification of right-sided cardiac intracavitary thromboembolus in massive pulmonary embolism.超声心动图对大面积肺栓塞患者右心腔内血栓栓子的识别
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Br Heart J. 1987 Mar;57(3):292-5. doi: 10.1136/hrt.57.3.292.
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[Right-sided atrial thromboembolism].[右侧心房血栓栓塞]
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[Right atrial thrombosis and pulmonary embolism: role of echocardiography].[右心房血栓形成与肺栓塞:超声心动图的作用]
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Br J Radiol. 2009 Dec;82(984):e240-2. doi: 10.1259/bjr/86275378.
2
Venous thromboembolic disease presenting as inferior vena cava thrombus extending into the right atrium.表现为下腔静脉血栓延伸至右心房的静脉血栓栓塞性疾病。
Clin Med Res. 2004 May;2(2):125-7. doi: 10.3121/cmr.2.2.125.
3
Entanglement of embolised thrombus with an endocardial lead causing pacemaker malfunction and subsequent pulmonary embolism.

本文引用的文献

1
Clinical presentation and non-invasive diagnosis of right heart masses.右心肿块的临床表现与无创诊断
Br Heart J. 1981 Nov;46(5):552-8. doi: 10.1136/hrt.46.5.552.
2
Echocardiographic identification of right-sided cardiac intracavitary thromboembolus in massive pulmonary embolism.超声心动图对大面积肺栓塞患者右心腔内血栓栓子的识别
Circulation. 1982 Dec;66(6):1322-5. doi: 10.1161/01.cir.66.6.1322.
3
Two-dimensional echocardiographic detection of circulating right atrial thrombi.二维超声心动图检测循环系统右心房血栓
栓塞性血栓与心内膜导线缠结,导致起搏器故障及随后的肺栓塞。
Br Heart J. 1987 Mar;57(3):292-5. doi: 10.1136/hrt.57.3.292.
Am Heart J. 1982 Mar;103(3):435-6. doi: 10.1016/0002-8703(82)90287-3.
4
Two-dimensional echocardiographic detection of right atrial thrombi.二维超声心动图检测右心房血栓。
Am J Cardiol. 1983 Feb;51(3):615-6. doi: 10.1016/s0002-9149(83)80111-8.
5
Right atrial thrombus leading to pulmonary embolism.右心房血栓导致肺栓塞。
Br Heart J. 1984 Apr;51(4):462-4. doi: 10.1136/hrt.51.4.462.
6
Echocardiographic diagnosis of right atrial thromboembolism.右心房血栓栓塞的超声心动图诊断
J Am Coll Cardiol. 1983 Apr;1(4):1167-9. doi: 10.1016/s0735-1097(83)80122-3.
7
Two dimensional echocardiography in evaluation of right atrial masses: five cases in pediatric patients.二维超声心动图在评估小儿右心房肿块中的应用:5例儿科患者
Am J Cardiol. 1981 Nov;48(5):961-6. doi: 10.1016/0002-9149(81)90365-9.