Patel A K, Kroncke G M, Heltne C E, Kosolcharoen P K, Thomsen J H
J Am Coll Cardiol. 1983 Dec;2(6):1224-7. doi: 10.1016/s0735-1097(83)80355-6.
Large, organized right ventricular thrombi are rare. This report describes a 51 year old man with a history of recurrent pulmonary emboli treated with inferior vena cava ligation who subsequently developed multiple mobile calcified thrombi in the right ventricle. He was treated successfully by surgical resection. Unusual clinical presentation on admission consisted of a two component friction rub secondary to calcified masses rubbing against each other in systole and diastole. Cardiac catheterization showed a constrictive-restrictive pattern that persisted after surgery. The role of noninvasive studies in the diagnosis and long-term follow-up of the patient is emphasized.
巨大、有组织的右心室血栓很少见。本报告描述了一名51岁男性，有复发性肺栓塞病史，接受了下腔静脉结扎术治疗，随后右心室出现多个可移动的钙化血栓。他通过手术切除成功治愈。入院时不寻常的临床表现为一种双成分摩擦音，继发于钙化团块在收缩期和舒张期相互摩擦。心导管检查显示为缩窄-限制型模式，术后仍持续存在。强调了非侵入性检查在该患者诊断和长期随访中的作用。
