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即将发生的反常栓塞:临床影像学与成功的外科治疗

Impending paradoxical embolus: clinical imaging and successful surgical treatment.

作者信息

van Dantzig J M, Cheriex E C, Snoep G, Prenger K B

机构信息

Department of Cardiology, University Hospital Maastricht, The Netherlands.

出版信息

Int J Card Imaging. 1998 Jun;14(3):167-70. doi: 10.1023/a:1006092525412.

DOI:10.1023/a:1006092525412
PMID:9813753
Abstract

In a patient with pulmonary emboli, transesophageal echocardiography showed a thrombus straddling the foramen ovale (impending paradoxical embolism). Proximal pulmonary emboli were visualized by spiral computed tomography and subsequent surgical treatment, consisting of removal of intracardiac clot, closure of the open foramen ovale and pulmonary embolectomy, was successful.

摘要

在一名肺栓塞患者中,经食管超声心动图显示有一血栓横跨卵圆孔(即将发生反常栓塞)。通过螺旋计算机断层扫描可看到近端肺栓塞,随后的手术治疗包括清除心内血栓、封闭开放的卵圆孔以及进行肺动脉栓子切除术,手术取得成功。

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本文引用的文献

1
Trapped thrombus in a patent foramen ovale.卵圆孔未闭内的被困血栓。
Thorac Cardiovasc Surg. 1997 Apr;45(2):90-2. doi: 10.1055/s-2007-1013695.
2
Images in cardiology. A threatened paradoxical embolism.心脏病学影像。一例疑似反常栓塞。
Heart. 1997 Jan;77(1):45. doi: 10.1136/hrt.77.1.45.
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Images in cardiovascular medicine. Impending paradoxical embolus.心血管医学影像。即将发生的反常栓塞。
Circulation. 1997 Feb 4;95(3):753. doi: 10.1161/01.cir.95.3.753.
4
Pulmonary embolism: validation of spiral CT angiography in 149 patients.肺栓塞:149例患者螺旋CT血管造影的验证
Radiology. 1996 Nov;201(2):467-70. doi: 10.1148/radiology.201.2.8888242.
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Impending paradoxical embolism and dynamic left ventricular outflow obstruction in a patient with recurrent pulmonary embolism and secondary pulmonary hypertension.一名复发性肺栓塞和继发性肺动脉高压患者出现即将发生的矛盾性栓塞和动态左心室流出道梗阻。
Eur Heart J. 1996 Sep;17(9):1448-9. doi: 10.1093/oxfordjournals.eurheartj.a015082.
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[Pulmonary embolism and thrombus trapped in a patent foramen ovale. Cure by heparin therapy].
Arch Mal Coeur Vaiss. 1996 Mar;89(3):375-7.
7
Serpentine thrombus traversing the foramen ovale: paradoxical embolism shown by transesophageal echocardiography.穿过卵圆孔的蜿蜒血栓:经食管超声心动图显示的反常栓塞
Ann Intern Med. 1996 Jul 15;125(2):111-3. doi: 10.7326/0003-4819-125-2-199607150-00006.
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Images in clinical medicine. Paradoxical Embolus.临床医学影像。反常栓塞。
N Engl J Med. 1993 Sep 23;329(13):930. doi: 10.1056/NEJM199309233291306.
9
Paradoxical embolism-in-transit: diagnosis and surgical treatment.矛盾性移行性栓塞:诊断与外科治疗
Can J Cardiol. 1993 Jun;9(5):437-40.
10
[Echocardiographic diagnosis of a thrombus trapped in a patent foramen ovale. Apropos of a case].卵圆孔未闭封堵术中血栓的超声心动图诊断:附1例报告
Arch Mal Coeur Vaiss. 1993 Jul;86(7):1065-8.