Matsuyama N, Asada K, Kondou K, Kodama T, Minohara S, Hasegawa Y, Sawada Y, Okamoto J, Okamoto K, Sasaki S
Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.
Kyobu Geka. 1997 Aug;50(9):793-5.
A 70-year-old woman who had a left atrial thrombus without mitral valve disease was reported. On admission her electrocardiogram showed atrial fibrillation, but there was no cardiac murmur. Transthoracic echocardiogram revealed a dilated left atrium and an intact mitral valve, but did not detect any thrombus. Transesophageal echocardiogram, however, demonstrated the thrombus attaching to the left atrial appendage. Removal of the thrombus and maze procedure were performed at the same time. Although a pacemaker (DDDR mode) was required postoperatively, she spends uneventful daily life at two years after the surgery.
报道了一名70岁无二尖瓣疾病但有左心房血栓的女性。入院时她的心电图显示房颤，但无心脏杂音。经胸超声心动图显示左心房扩大且二尖瓣完整，但未检测到任何血栓。然而，经食管超声心动图显示血栓附着于左心耳。同时进行了血栓清除和迷宫手术。尽管术后需要起搏器（DDDR模式），但术后两年她的日常生活平稳。
