肺移植术后与肺静脉血栓形成相关的脑血管栓塞
Cerebrovascular emboli related to pulmonary venous thrombosis after lung transplantation.
作者信息
Reilly M P, Plappert T J, Wiegers S E
机构信息
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
出版信息
J Am Soc Echocardiogr. 1998 Mar;11(3):299-302. doi: 10.1016/s0894-7317(98)70093-8.
We describe a case of cerebral emboli related to pulmonary venous thrombosis after bilateral lung transplantation in a young man with cystic fibrosis. The diagnosis was made by transesophageal echocardiography, leading to aggressive anticoagulation within 24 hours of surgery. Hemodynamic deterioration in the following hours was of concern for the development of obstructive thrombus but was found to be due to pericardial tamponade, which, remarkably, resolved during a repeat transesophageal echocardiography.
我们描述了一例患有囊性纤维化的年轻男性在双侧肺移植后发生与肺静脉血栓形成相关的脑栓塞病例。通过经食管超声心动图做出诊断，并在术后24小时内进行了积极的抗凝治疗。随后数小时内的血流动力学恶化令人担忧是否会发展为阻塞性血栓，但结果发现是由于心包填塞所致，值得注意的是，在重复经食管超声心动图检查期间心包填塞得到了解决。
Zotero 插件