Goldenberg I F, Roeller S K, Pedersen W R, Pritzker M R, Herzog C, Flygenring B P, Olivari M T
Department of Medicine, University of Minnesota Medical School, Minneapolis.
J Heart Lung Transplant. 1994 Sep-Oct;13(5):910-2.
We present a case of cardiac tamponade masked by bilateral internal jugular vein thrombosis occurring in a patient 1 month after orthotopic heart transplantation. Because patients who undergo heart transplantation undergo both heart surgery and multiple endomyocardial biopsies, they are at risk for both of these complications. Therefore when evaluating hypotensive patients who are at risk for both pericardial effusion and bilateral internal jugular vein thrombosis, cardiac tamponade should not be excluded, even in the absence of jugular vein distention.
我们报告一例原位心脏移植术后1个月发生的双侧颈内静脉血栓形成掩盖的心脏压塞病例。由于接受心脏移植的患者既要接受心脏手术，又要进行多次心内膜心肌活检，他们面临这两种并发症的风险。因此，在评估同时有发生心包积液和双侧颈内静脉血栓形成风险的低血压患者时，即使没有颈静脉扩张，也不应排除心脏压塞的可能。
