Colletta M, Paoloni P, Ciliberti D, De Castro U, Capone P
Servizio di Cardiologia con UTIC, Ospedale Civile A. Murri, Fermo, Ascoli Piceno.
Minerva Cardioangiol. 1997 Sep;45(9):439-42.
The echocardiographic detection of a right thromboembolus, although rare, should be considered as a cardiological emergency that could lead to death for massive pulmonary embolism. The case of a 70 year-old man admitted to our Institution with the suspicion of pulmonary embolism is described. The echocardiogram performed showed a large mobile thrombus in the right atrium prolapsing through the tricuspid valve during diastole. After thrombolytic therapy with r-TPA, the patient faced a progressive hemodynamic deterioration and died of electromechanical dissociation.
经超声心动图检测出右心血栓栓子虽罕见，但应被视为可能因大面积肺栓塞导致死亡的心脏急症。本文描述了一名70岁男性因疑似肺栓塞入住我院的病例。超声心动图检查显示右心房有一个大的活动血栓，在舒张期经三尖瓣脱垂。接受r-TPA溶栓治疗后，患者出现进行性血流动力学恶化，最终死于电机械分离。
