Black M D, Masters R G, Sochowski R A, Higginson L A, Keon W J
University of Ottawa Heart Institute, Ottawa Civic Hospital, Ontario.
Can J Cardiol. 1993 Jun;9(5):437-40.
Paradoxical embolism-in-transit is an uncommon presentation of the thromboembolism complex. The advent of echocardiography has permitted its antemortem diagnosis and serves to guide treatment; this is illustrated by the case of a 51-year-old female who presented with paradoxical embolism-in-transit and pulmonary embolism following craniotomy. Echocardiography demonstrated mobile clot straddling the atrial septum and embolus in the right pulmonary artery. Surgery successfully removed all clots as demonstrated by intraoperative echocardiography, and the patient had an uneventful recovery.
矛盾性移行性栓塞是血栓栓塞综合征的一种罕见表现形式。超声心动图的出现使其能够在生前得到诊断并指导治疗；一名51岁女性在开颅术后出现矛盾性移行性栓塞和肺栓塞的病例就说明了这一点。超声心动图显示有可移动的血栓横跨房间隔，并在右肺动脉有栓子。手术成功地清除了所有血栓，术中超声心动图证实了这一点，患者恢复顺利。
