Gabelmann M, Geibel A, Redecker M, Fraedrich G, Just H
Medizinische Universitätsklinik und Poliklinik Abteilung Innere Medizin III, Kardiologie und Angiologie, Freiburg.
Z Kardiol. 1995 Sep;84(9):729-32.
A 43-year-old woman presented with acute embolic occlusion of the left brachial artery. She was immediately treated by surgical embolectomy. After exclusion of other possible embolic sources, the transthoracic and transesophageal echocardiographic examination revealed a floating thrombus in the aortic arch. There-upon an aortotomy and thrombectomy was performed and showed a normal wall structure of the thoracic aorta except for a minimal ulcerated lesion of the intima at the aortic arch. This case confirms that transthoracic and transesophageal echocardiography are the diagnostic methods of choice for detecting thromboembolic sources originating in the heart or thoracic aorta.
一名43岁女性因左肱动脉急性栓塞性闭塞就诊。她立即接受了手术取栓治疗。在排除其他可能的栓子来源后，经胸和经食管超声心动图检查发现主动脉弓有一个漂浮血栓。随即进行了主动脉切开取栓术，结果显示胸主动脉壁结构正常，只是主动脉弓内膜有一个微小的溃疡病变。该病例证实，经胸和经食管超声心动图是检测源自心脏或胸主动脉的血栓栓塞源的首选诊断方法。
