PULMONARY AND PARADOXICAL SYSTEMIC EMBOLI FROM RIGHT ATRIAL THROMBI

被引:30
|
作者
SIEBENLIST, D
GATTENLOHNER, W
机构
关键词
D O I
10.1055/s-2008-1059432
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ten days after surgical treatment of a gastric perforation a 70-year-old woman developed progressive dyspnoea and hypertension without any signs of deep vein thrombosis. Emergency echocardiography revealed acute cor pulmonale with a dilated right atrium and ventricle, as well as paradoxical ventricular septal motion. In addition it demonstrated an elongated, extremely mobile thrombus stuck in a patent foramen ovale with most of it floating in the right atrium, the remainder in the left atrium. Within 2 hours of the ultrasound examination she went into fulminant pulmonary embolism with circulatory arrest and paradoxical embolization from the atria to the brain, after which the intraatrial thrombus was no longer detectable. She was successfully resuscitated and thrombolysis was immediately started with tissue-plasminogen activator (100 mg over 90 min), with ensuing stabilization of the circulation. The patient was gradually weaned off the ventilator over the following few days, but she died 10 days after the resuscitation from the severe cerebral damage.
引用
收藏
页码:1105 / 1109
页数:5
相关论文
共 50 条
  • [21] PARADOXICAL SYSTEMIC EMBOLI - 5 CASE STUDIES
    JANVIER, G
    BONNET, A
    WINNOCK, S
    ADOUE, B
    CHEVAIS, R
    SERISE, JM
    BOISSIERAS, P
    TINGAUD, R
    JOURNAL DES MALADIES VASCULAIRES, 1983, 8 (01) : 47 - 50
  • [22] THE DATING OF PULMONARY EMBOLI AND DEEP-VEIN THROMBI
    KNIGHT, B
    ZAINI, MRS
    JOURNAL OF THE FORENSIC SCIENCE SOCIETY, 1984, 24 (04): : 317 - 317
  • [24] Successful thrombolysis of right atrial and ventricular thrombi in a patient with massive pulmonary embolism
    Vogiatzis, I
    Dapcevic, I
    Sachpekidis, V
    Stafylas, P.
    Sidiropoulos, A.
    Pittas, S.
    Tsangaris, V
    HIPPOKRATIA, 2009, 13 (03) : 178 - 180
  • [25] Paradoxical Emboli Might Occur in Patients with Pulmonary Hypertension without a Right-to-left Shunt
    Watanabe, Shingo
    Murata, Kazuya
    Ishikawa, Tae
    Handa, Keita
    Sakurai, Kaoru
    Azegami, Koji
    Isobe, Mitsuaki
    JOURNAL OF CARDIAC FAILURE, 2014, 20 (10) : S160 - S160
  • [26] Simultaneous Pulmonary And Paradoxical Emboli With Impending Paradoxical Embolus; A Rare Presentation
    Rizwan, M. Z.
    Ahmad, Z.
    Chalise, S. N.
    Al Janabi, M.
    Sultana, N.
    Rehman, Z.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2016, 193
  • [27] INFECTED RIGHT ATRIAL THROMBUS AND PULMONARY EMBOLI ASSOCIATED WITH A PERFORATED JEJUNAL DIVERTICULITIS
    TOUMA, T
    KASEDA, S
    KAWAZOE, N
    FUKIYAMA, K
    IWAMASA, T
    SUEYOSHI, T
    JAPANESE HEART JOURNAL, 1994, 35 (01): : 107 - 111
  • [28] RIGHT ATRIAL NEOPLASTIC PULMONARY EMBOLI WILMS-TUMOR TERMINAL EVOLUTION
    BARABE, P
    SEURAT, P
    VAISSE, D
    GUYON, P
    PEGHINI, M
    PHILIPPON, G
    MEDECINE ET ARMEES, 1991, 19 (03): : 131 - 134
  • [29] RIGHT ATRIAL-MYXOMA - A CAUSE OF SEPTIC PULMONARY EMBOLI IN AN ADOLESCENT FEMALE
    COUGHLIN, WF
    KNOTT, PE
    JOURNAL OF ADOLESCENT HEALTH, 1990, 11 (04) : 351 - 354
  • [30] SUCCESSFUL THROMBECTOMY OF MAIN PULMONARY ARTERY EMBOLI AND RIGHT ATRIAL CLOT IN TRANSIT
    Martin, Scott
    Ketenci, Melis
    Defonseka, Ravin
    Thompson, Michael
    Stratton, Jamie
    Hsi, David H.
    CHEST, 2024, 166 (04) : 5908A - 5909A