对称性外周坏疽

McGouran R C, Emmerson G A

Br Heart J. 1977 May;39(5):569-72. doi: 10.1136/hrt.39.5.569.

Two cases of symmetrical peripheral gangrene associated with intracardiac lesions are described. One had a secondary deposit from a uterine leiomyosarcoma in the wall of the right ventricle, the other had a free ball thrombus in the right atrium; there were no valvular lesions in either case. The published reports of this type of gangrene indicate that it may result from (1) va sospastic conditions, (2) small vessel obstruction, or (3) conditions producing a very low cardiac output. The two patients reported are unusual examples of the last.

本文描述了两例与心内病变相关的对称性外周坏疽病例。一例是右心室壁有子宫平滑肌肉瘤的继发性沉积物，另一例是右心房有游离球状血栓；两例均无瓣膜病变。关于这类坏疽的已发表报告表明，其可能由以下原因导致：（1）血管痉挛状态；（2）小血管阻塞；或（3）导致心输出量极低的情况。所报告的这两名患者是最后一种情况的罕见例子。