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[下壁心肌梗死伴正常冠状动脉及心腔内血栓形成的室性心动过速后右冠状动脉血栓栓塞]

[Thromboembolism of the right coronary after ventricular tachycardia with inferior wall myocardial infarction and normal coronary arteries and intracavitary thrombus].

作者信息

Bastos L de C, Macalós E C, Barizi A, Mcnally L

机构信息

Instituto de Moléstias Cardiovasculares de Cascavel e Hospital Policlínica Cascavel Ltda, PR.

出版信息

Arq Bras Cardiol. 1994 Apr;62(4):247-50.

PMID:7998852
Abstract

A 47 year-old man, with signals of low cardiac output due to sustained ventricular tachycardia, without history of pain. After clinical control of the arrhythmia, he was underwent to coronary-angiography that showed no obstructive lesion, but a thrombus was present in the distal right coronary artery. There was hypocinesia of the inferior wall of the left ventricle and the presence of a mural thrombus in that region. The patient was kept under clinical treatment and sent back to his cardiologist.

摘要

一名47岁男性,因持续性室性心动过速出现心输出量降低的体征,无疼痛病史。心律失常经临床控制后,他接受了冠状动脉造影,结果显示无阻塞性病变,但右冠状动脉远端存在血栓。左心室下壁运动减弱,该区域存在壁内血栓。患者接受临床治疗,并被送回其心脏病专家处。

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