UNASSIGNED: A woman in her late thirties presented to the emergency department with a five-day history of dyspnoea. She had recently undergone liposuction surgery after pregnancy. Upon admission, initial investigations revealed a pulmonary embolism with right heart strain, and she was treated with anticoagulants. The following day, she complained of acute-onset right flank pain without fever or other accompanying symptoms. A CT scan of the abdomen confirmed a right-side renal infarction. Further investigations revealed patent foramen ovale between the right and left atria of the heart, believed to be the source of a right-to-left shunt of arterial emboli. Although the patient had not suffered a clinical stroke, it was decided to close this defect using percutaneous technique.
UNASSIGNED: Patent foramen ovale is a common condition in adults, but in most cases it remains asymptomatic. However, patients with patent foramen ovale have an elevated risk of arterial emboli affecting multiple organs. The diagnosis depends on thorough assessment to prevent potentially fatal outcomes.
■一名30多岁的女性因呼吸困难5天来急诊就诊。她最近在怀孕后接受了抽脂手术。一被录取,初步调查显示肺栓塞伴右心拉伤,她接受了抗凝剂治疗.第二天,她主诉急性发作的右腹部疼痛,没有发热或其他伴随症状。腹部CT扫描证实右侧肾梗死。进一步的调查显示,心脏右心房和左心房之间的卵圆孔未闭,被认为是动脉栓塞从右到左分流的来源。尽管患者没有遭受临床中风,决定使用经皮技术闭合这个缺损。
■卵圆孔未闭是成人的常见病,但在大多数情况下,它仍然是无症状的。然而,卵圆孔未闭患者发生影响多个器官的动脉栓塞的风险增加。诊断取决于全面评估以防止潜在的致命结果。