Vicol C, Danov V, Struck E
Department of Cardiac Surgery, Central Hospital Augsburg, Germany.
Ann Thorac Surg. 1995 Oct;60(4):1111-2. doi: 10.1016/0003-4975(95)00473-x.
The case of a 33-year-old woman suffering from a paradoxical peripheral embolism in the presence of a right-to-left shunt at the level of an ostium secundum defect is presented. A functional stenosis of the tricuspid valve due to obstruction through a thrombotic atrial mass was found to be responsible for the right-to-left shunt. Treatment consisted of peripheral embolectomy, removal of the atrial mass, and closure of the atrial septum defect.
本文介绍了一名33岁女性的病例，该患者在继发孔缺损水平存在右向左分流的情况下发生了矛盾性外周栓塞。发现由于血栓性心房肿物阻塞导致三尖瓣功能性狭窄是右向左分流的原因。治疗包括外周栓子切除术、心房肿物切除术和房间隔缺损闭合术。
