Laughlin R A, Mandel S R
Arch Surg. 1977 May;112(5):648-50. doi: 10.1001/archsurg.1977.01370050108019.
A 32-year-old morbidly obese woman had bilateral subclavian artery embolism. After embolectomy, a right heart catheterization showed a patent foramen ovale and a right-to-left shunt. Pulmonary angiography revealed multiple pulmonary emboli. Bilateral lower extremity venography demonstrated left ileofemoral thrombi as the probable source. The patient was successfully treated with an inferior vena caval umbrella and anticoagulant drugs.
一名32岁的病态肥胖女性发生双侧锁骨下动脉栓塞。取栓术后，右心导管检查显示卵圆孔未闭及右向左分流。肺血管造影显示多发性肺栓塞。双侧下肢静脉造影显示左髂股静脉血栓可能为栓子来源。该患者接受下腔静脉滤器及抗凝药物治疗成功。
