Cerel A, Burger A J
Division of Cardiology, New England Deaconess Hospital, Harvard Medical School, Boston 02215.
Chest. 1993 Mar;103(3):944-5. doi: 10.1378/chest.103.3.944.
We describe a patient with an acute inferior wall myocardial infarction who underwent percutaneous coronary angioplasty. He subsequently had a cardiac arrest and developed progressive severe hypoxia. Although findings from pulmonary angiography were nondiagnostic, transesophageal echocardiography demonstrated a nonocclusive, right pulmonary artery thrombus. Therapy was changed, and the patient recovered. Transesophageal echocardiography was also used to monitor anticoagulation therapy.
我们描述了一名患有急性下壁心肌梗死并接受经皮冠状动脉腔内血管成形术的患者。他随后发生心脏骤停并出现进行性严重缺氧。尽管肺血管造影结果未明确诊断，但经食管超声心动图显示右肺动脉有一个非阻塞性血栓。治疗方案改变后，患者康复。经食管超声心动图还用于监测抗凝治疗。
