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伴有巨大右心房血栓的法洛三联症：一例报告

Trilogy of Fallot With a Large Right Atrial Thrombus: A Case Report.

作者信息

Barik Ramachandra, Acharya Debasis, Deb Pranjit, Panda Debasis, Malla Sindhu Rao

机构信息

Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

出版信息

Cureus. 2025 Feb 21;17(2):e79395. doi: 10.7759/cureus.79395. eCollection 2025 Feb.

DOI:10.7759/cureus.79395
PMID:40125166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11929960/
Abstract

Trilogy of Fallot is a rare congenital heart disease consisting of pulmonary stenosis, right-to-left interatrial shunt, and right ventricular hypertrophy. It can lead to complications such as thrombus formation as a result of chronic hypoxia leading to erythrocytosis and hyperviscosity, and paradoxical embolisms due to the right-to-left interatrial shunt. This report illustrates a case of a young man who presented with cyanosis and right heart failure with a history of recurrent episodes of transient ischemic attacks. He was found to have Trilogy of Fallot with a large right atrial thrombus. He showed significant improvement following treatment with low molecular weight heparin and thereafter undergoing balloon pulmonary valvotomy.

摘要

法洛三联症是一种罕见的先天性心脏病，由肺动脉狭窄、心房右向左分流和右心室肥厚组成。它可导致并发症，如由于慢性缺氧导致红细胞增多症和高粘滞血症而形成血栓，以及由于心房右向左分流导致反常栓塞。本报告阐述了一例年轻男性病例，该患者有发绀和右心衰竭症状，并有短暂性脑缺血发作反复发作史。他被诊断为法洛三联症并伴有巨大右心房血栓。在接受低分子量肝素治疗并随后进行球囊肺动脉瓣切开术后，他的病情有了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/70c95c135056/cureus-0017-00000079395-i07.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/67c1f01f6e1b/cureus-0017-00000079395-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/2bc3a2482634/cureus-0017-00000079395-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/70c95c135056/cureus-0017-00000079395-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/2fa442aebf81/cureus-0017-00000079395-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/1c3603f86756/cureus-0017-00000079395-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/0ae0b733b156/cureus-0017-00000079395-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/bdbdfc78b412/cureus-0017-00000079395-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/67c1f01f6e1b/cureus-0017-00000079395-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/2bc3a2482634/cureus-0017-00000079395-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b76/11929960/70c95c135056/cureus-0017-00000079395-i07.jpg

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Trilogy of Fallot With a Large Right Atrial Thrombus: A Case Report.伴有巨大右心房血栓的法洛三联症：一例报告
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[Sudden transformation of pulmonary stenosis to trilogy of Fallot in a 65 year old patient].
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Thromboprophylaxis and adult congenital heart disease: The latest on indications, risk scoring and therapy.血栓预防与成人先天性心脏病：关于适应证、风险评分及治疗的最新进展
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罕见先天性心脏病的常见后果：探索法洛四联症合并感染性心内膜炎及脑静脉血栓形成
Cureus. 2023 Sep 14;15(9):e45244. doi: 10.7759/cureus.45244. eCollection 2023 Sep.
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