Augusseau M P, Pacouret G, Charbonnier B, Sirinelli A, Dreyfus X, Aupart M
Service de cardiologie D et USCI, CHU Trousseau, Tours.
Arch Mal Coeur Vaiss. 1997 Nov;90(11):1533-8.
The authors report a case of paradoxical embolism presenting with syncope and a transient cerebrovascular accident. A large thrombus was observed entrapped in the foramen ovale during transthoracic echocardiography and confirmed at transoesophageal echocardiography. Despite the recent cerebrovascular event surgery was successfully performed. This clinical situation, and a review of the literature illustrate the diagnostic value of transoesophageal echocardiography, the finding of an intra-atrial thrombus being a possible surgical indication when the clinical context is favourable.
作者报告了一例以晕厥和短暂性脑血管意外为表现的反常栓塞病例。经胸超声心动图检查时观察到一个大血栓被困于卵圆孔内，经食管超声心动图检查得以证实。尽管近期发生了脑血管事件，但手术仍成功进行。这种临床情况以及文献回顾说明了经食管超声心动图的诊断价值，当临床情况有利时，心房内血栓的发现可能是手术指征。
