Pulmoner Emboliye Neden Olan Yılanvari Sağ Atrial Trombüs Olgusu

Yıl 2012, Cilt: 3 Sayı: 4, 134 - 136, 01.10.2012

Enbiya Aksakal Mücahit Emet Hüsnü Değirmenci Mustafa Uzkeser

Öz

Sağ atriyal trombüs nadirdir fakat yaklaşık %30-40 ölüme neden
olabilmektedir. Ekokardiyografi pulmoner embolinin kardiyak
kökenli nedenlerinin belirlenmesinde önemlidir ve hareketli trombüs nadiren aynı anda sağ atriyum ve pulmoner arterde
görüntülenebilir. Trombolitik tedavi sağ atriyal trombüs ve masif
pulmoner emboli olan hastalarda hayat kurtarıcı girişimdir. Biz bu
yazıda interatriyal septuma tutunan ve pulmoner emboliye yol
açan yılanvari sağ atriyal trombüs olgusunu sunmayı amaçladık.
Bu olgunun ilginç olan özelliği, hareketli trombüsler transtorasik
ekokardiyografi ile sağ atriyum ve pulmoner arterde aynı anda
görüntülenmiştir

Anahtar Kelimeler

Sağ atriyal trombüs, pulmoner emboli, trombolitik tedavi

A Case of a Serpentine-like Right Atrial Thrombus Causing Pulmonary Embolism

Öz

Right atrial thrombi are rare but cause mortality in approximately 30-40% of cases. Echocardiography is important for determining the causes of the cardiac origin of pulmonary embolism, and, simultaneously, mobile thrombi can be rarely visualized in the right atrium and pulmonary artery. Thrombolytic therapy is a life-saving intervention in patients with a right atrial thrombus and massive pulmonary embolism. In this report, we present a case of a serpentine-like right atrial thrombus adhered to the interatrial septum, leading to pulmonary embolism. The interesting feature of this case is that mobile thrombi were simultaneously visualized in the right atrium and pulmonary artery by transthoracic echocardiography

Anahtar Kelimeler

Right atrial thrombus, pulmonary embolism, thrombolytic theraphy

Kaynakça

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