Bianchi C, Astorri E, Garini A, Emanuelli C, Bonifazi C, Florina P, Distante R
Divisione di Cardiologia, Università degli Studi, Parma.
Minerva Cardioangiol. 1996 Jul-Aug;44(7-8):369-72.
We describe the case of a 73-year-old man, admitted after several days of moderate dyspnea, followed by sincopal episode. Transesophageal echocardiography clearly demonstrated a high resolution image indicating thromboembolus of the proximal right main pulmonary artery. The patient's clinical conditions were moderately impaired; a treatment with heparin followed by warfarin was started. At 15 and 30 days interval, TEE controls were performed, showing an incomplete but evident resolution of pulmonary thromboembolism, associated to an improvement of clinical ECG and scintigraphic parameters. Our TEE observation, in accordance with the small number of similar observations reported in literature, showed a clear direct visualization with high resolutive diagnostic possibilities for pulmonary thromboembolism; successful resolution was confirmed by repeated TEE studies.
我们描述了一名73岁男性的病例，该患者在出现数日中度呼吸困难后，继而发生晕厥发作。经食管超声心动图清晰地显示出一幅高分辨率图像，提示右主肺动脉近端存在血栓栓塞。患者的临床状况受到中度损害；开始给予肝素治疗，随后使用华法林。每隔15天和30天进行经食管超声心动图检查，结果显示肺血栓栓塞有不完全但明显的缓解，同时临床心电图和闪烁扫描参数有所改善。我们的经食管超声心动图观察结果与文献中报道的少数类似观察结果一致，显示出对肺血栓栓塞有清晰的直接可视化以及高分辨率的诊断可能性；重复的经食管超声心动图研究证实了成功缓解。
