左心房游离球型血栓。

European journal of cardiology Pub Date : 1981-01-01
P E Sögaard
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引用次数: 0

摘要

一例球血栓在左心房与正常二尖瓣口提出。这是一个极其罕见的组合。患者76岁,因二尖瓣口血栓淤塞,出现发绀、呼吸困难和休克等症状。此外,她还有腹痛。尸检显示血栓位于扩张的左心房,肝脏近期有梗死,左肾动脉有血栓。由于这种现象的罕见,临床诊断很困难,但当诊断为心房颤动时,应考虑左心房栓塞。伴有这些症状的患者也应考虑黏液瘤的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Free ball thrombus of the left atrium.

A case with a ball thrombus in the left atrium with a normal mitral orifice is presented. This is an extremely rare combination. The patient, aged 76, suffered from attacks of cyanosis, dyspnoea and shock because of lodging of the thrombus in the mitral orifice. In addition she had abdominal pain. The autopsy showed the thrombus in a dilated left atrium, and there were recent infarctions in the liver and a thrombus in the left renal artery. The clinical diagnosis is difficult because of the rarity of this phenomenon, but one should think of emboli from the left atrium, when an atrial fibrillation is diagnosed. One should also consider the possibility of a myxoma with these symptoms.

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