Mukai S, Murata H, Kitai K, Yasuoka T, Katou Y
Department of Cardiovascular Surgery, Kansai Rousai Hospital, Hyogo, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Aug;46(8):789-92. doi: 10.1007/BF03217823.
A 64-year-old female was admitted with general fatigue and orthopnea. Preoperative echocardiography showed a free ball thrombus in the left atrium, mitral stenosis and severe tricuspid regurgitation. To avoid a herniation of thrombus to the mitral orifice, an emergency operation was performed. Two free and small mural thrombi were found in the left atrium. Thrombectomy, mitral valve replacement and tricuspid annuloplasty were performed successfully. Postoperative course was uneventful, and she was discharged in good condition on the 21st postoperative day.
一名64岁女性因全身乏力和端坐呼吸入院。术前超声心动图显示左心房有游离球状血栓、二尖瓣狭窄和严重三尖瓣反流。为避免血栓疝入二尖瓣口,遂行急诊手术。术中发现左心房有两个游离的小壁血栓。成功实施了血栓切除术、二尖瓣置换术和三尖瓣环成形术。术后病程平稳,患者于术后第21天康复出院。