概括
悖论性栓塞是一种罕见的疾病,可以发生在没有明显的心脏缺陷的情况下. 诊断需要特定的测试,即使没有典型的症状,突出其在无法解释的动脉血栓的重要性.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
背景情况:
- 悖论性栓塞包括静脉血栓进入动脉循环.
- 它经常出现无法解释的动脉栓塞,使诊断复杂化.
研究的目的:
- 突出对悖论性血栓塞的特定测试的诊断效用.
- 呈现对悖论性栓塞的成功治疗结果.
主要方法:
- 在生命期间诊断出两例矛盾栓塞病例.
- 在瓦萨尔瓦机动之后的甲酸盐稀释技术确定了专利的圆孔和从右到左的分流.
- 进行了下腔静脉的手术中断.
主要成果:
- 诊断出了复发性脑栓塞和联合臂膜/冠状动脉栓塞.
- 肺栓塞在两个病例中都存在.
- 尽管初始心脏导管检查结果正常,但与心房间间间的分离器连接的圆孔被证实是正常的.
结论:
- 在没有明显来源的动脉栓塞病例中应考虑悖论性栓塞,特别是在并发的静脉或肺栓塞的情况下.
- 早期诊断的专利卵巢孔是至关重要的.
- 下腔静脉中断是一种有效的治疗策略.
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