Abstract：
An 82-year-old woman with a history of bladder cancer presented with dyspnea and loss of consciousness. Contrast-enhanced computed tomography revealed pulmonary embolism, and emergency thrombus aspiration therapy was performed, but the thrombus was not aspirated. Echocardiography showed mobile masses in the heart and a right-to-left shunt due to a patent foramen ovale (PFO). Magnetic resonance imaging showed multiple cerebral infarctions. Surgical thrombectomy and PFO closure were performed, and the patient was diagnosed with intracardiac metastasis of bladder cancer based on intraoperative histopathology. This is a rare case of concomitant pulmonary and cerebral tumor embolism and intracardiac metastasis from bladder cancer.
摘要：
一名82岁的女性，有膀胱癌病史，表现为呼吸困难和意识丧失。对比增强计算机断层扫描显示肺栓塞，并进行了紧急血栓抽吸治疗，但血栓没有被抽吸.超声心动图显示，由于卵圆孔未闭（PFO），心脏有活动肿块和左右分流。磁共振成像显示多发性脑梗死。手术取栓和PFO封堵术，根据术中组织病理学诊断为膀胱癌心内转移。这是一例罕见的肺癌和脑肿瘤栓塞以及膀胱癌的心内转移。
