SYSTEMIC EMBOLIZATION FOLLOWING THROMBOLYTIC THERAPY FOR ACUTE MYOCARDIAL-INFARCTION

被引：13

作者：

ZAHGER, D

WEISS, AT

ANNER, H

WAKSMAN, R

机构：

[1] HADASSAH UNIV HOSP,CORONARY CARE UNIT,IL-91120 JERUSALEM,ISRAEL

[2] HADASSAH UNIV HOSP,DEPT VASC SURG,IL-91120 JERUSALEM,ISRAEL

来源：

CHEST | 1990年 / 97卷 / 03期

关键词：

D O I：

10.1378/chest.97.3.754

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We describe a patient with acute inferior myocardial infarction who developed a 'saddle' aortic embolus during streptokinase infusion. Three months previously, this patient had sustained an anterior infarction, and an apical aneurysm was found. This patient's embolus had most probably originated from a left ventricular mural thrombus that had been dislodged by streptokinase. As fibrinolytic treatment is gaining wide acceptance, physicians should be aware of this rare, but possible, complication.

引用

收藏

页码：754 / 756

页数：3

相关论文

共 10 条

[1] INCIDENCE OF LEFT-VENTRICULAR THROMBOSIS AFTER ACUTE TRANSMURAL MYOCARDIAL-INFARCTION - SERIAL EVALUATION BY TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].

ASINGER, RW ;

MIKELL, FL ;

ELSPERGER, J ;

HODGES, M .

NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (06) :297-302

[2] PLASMINOGEN-ACTIVATOR AND CEREBRAL INFARCTION [J].

CRANSTON, RE ;

WOLFSON, MA ;

BUCHSBAUM, HW ;

FEINBERG, WM ;

BARREUTHER, A .

ANNALS OF INTERNAL MEDICINE, 1988, 108 (05) :766-766

[3] EMBOLIC POTENTIAL OF LEFT-VENTRICULAR THROMBI DETECTED BY TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].

HAUGLAND, JM ;

ASINGER, RW ;

MIKELL, FL ;

ELSPERGER, J ;

HODGES, M .

CIRCULATION, 1984, 70 (04) :588-598

[4] MURAL THROMBI IN MYOCARDIAL INFARCTIONS - PROSPECTIVE EVALUATION BY TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].

KEATING, EC ;

GROSS, SA ;

SCHLAMOWITZ, RA ;

GLASSMAN, J ;

MAZUR, JH ;

PITT, WA ;

MILLER, D .

AMERICAN JOURNAL OF MEDICINE, 1983, 74 (06) :989-995

[5] LYSIS OF MOBILE LEFT-VENTRICULAR THROMBI DURING ACUTE MYOCARDIAL-INFARCTION WITH UROKINASE [J].

KEREN, A ;

MEDINA, A ;

GOTTLIEB, S ;

BANAI, S ;

STERN, S .

AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (14) :1180-1181

[6] LYSIS OF LEFT-VENTRICULAR THROMBI WITH UROKINASE [J].

KREMER, P ;

FIEBIG, R ;

TILSNER, V ;

BLEIFELD, W ;

MATHEY, DG .

CIRCULATION, 1985, 72 (01) :112-118

[7] THROMBOLYTIC THERAPY FOR PROSTHETIC CARDIAC-VALVE THROMBOSIS [J].

KURZROK, S ;

SINGH, AK ;

MOST, AS ;

WILLIAMS, DO .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 9 (03) :592-598

[8] INTRACARDIAL THROMBI AND SYSTEMIC EMBOLIZATION [J].

MELTZER, RS ;

VISSER, CA ;

FUSTER, V .

ANNALS OF INTERNAL MEDICINE, 1986, 104 (05) :689-698

[9] LONG-TERM FOLLOW-UP OF LEFT-VENTRICULAR THROMBUS AFTER ACUTE MYOCARDIAL-INFARCTION - A TWO-DIMENSIONAL ECHOCARDIOGRAPHIC STUDY IN 96 PATIENTS [J].

VISSER, CA ;

KAN, G ;

MELTZER, RS ;

LIE, KI ;

DURRER, D .

CHEST, 1984, 86 (04) :532-536

[10] EMBOLIC POTENTIAL OF LEFT-VENTRICULAR THROMBUS AFTER MYOCARDIAL-INFARCTION - A TWO-DIMENSIONAL ECHOCARDIOGRAPHIC STUDY OF 119 PATIENTS [J].

VISSER, CA ;

KAN, G ;

MELTZER, RS ;

DUNNING, AJ ;

ROELANDT, J ;

VANCORLER, M ;

DEKONING, H .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1985, 5 (06) :1276-1280