Missault L, Koch A, Colardyn F, Clement D
Department of Cardiology, University Hospital, Gent, Belgium.
Eur Heart J. 1994 May;15(5):713-4. doi: 10.1093/oxfordjournals.eurheartj.a060574.
A patient with biventricular thrombus formation in dilated cardiomyopathy suffered massive combined systemic and pulmonary embolization shortly after oral anticoagulation was started. Although this can be coincidental, it can also suggest that the basis of a thrombus may dissolve first with any, including oral, anticoagulation. In unusual conditions surgical removal of thrombi in dilated cardiomyopathy may be a safer alternative.
一名扩张型心肌病合并双心室血栓形成的患者在开始口服抗凝治疗后不久发生了大规模的全身和肺栓塞。虽然这可能是巧合，但也可能提示血栓的基础部分可能会在任何抗凝治疗（包括口服抗凝）下首先溶解。在特殊情况下，手术切除扩张型心肌病中的血栓可能是一种更安全的选择。
