Toda R, Yuda T, Nishida T, Toyohira H, Taira A
Second Department of Surgery, Faculty of Medicine, Kagoshima University, Japan.
Ann Thorac Surg. 1996 Nov;62(5):1505-6. doi: 10.1016/0003-4975(96)00399-2.
A 33-year-old man was hospitalized with right heart failure. He was diagnosed as having right atrial mural thrombus complicated with pericarditis on echocardiography, thoracic computed tomography, and cardiac catheterization. Pericardiectomy and thrombectomy with a partial resection of the right atrial wall were performed under extracorporeal circulation. It was suggested that the cause of right atrial thrombus was congestion, atrial fibrillation, and pericarditis. The cause of pericarditis could not be determined by pathologic examination and laboratory data. Surgical treatment should be performed as soon as possible to prevent pulmonary embolism.
一名33岁男性因右心衰竭入院。经超声心动图、胸部计算机断层扫描和心导管检查，诊断为右心房壁血栓合并心包炎。在体外循环下进行了心包切除术、血栓切除术及部分右心房壁切除术。提示右心房血栓的病因是充血、心房颤动和心包炎。病理检查和实验室数据无法确定心包炎的病因。应尽快进行手术治疗以预防肺栓塞。
