Author/Editor		Ružič-Medvešček, Nadja; Latifič-Jasnič, Dunja; Gričar, Marko; Lejko-Zupanc, Tatjana; Koželj, Mirta; Šinkovec, Matjaž; Zorman, Darko; Grošelj, Ciril; Jurčič, Vesna
Title		Gibljivi trombi v srcu - prikaz dveh primerov
Translated title		Floating thrombi in the heart - two cases
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 2
Publication year		2000
Volume		str. 71-7
Language		slo
Abstract		Floating cardiac thrombi are peripheral and pelvic venous clots which, on their way to the lungs, are accidentally lodged in the heart. They are rare but clinically significant because of the high incidence of massive pulmonary embolism and high mortality. Two patients, one with a snake-like thrombus in the right atrium and one with a snake-like thrombus in the left atrium stuck in the open foramen ovale, are presented and discussed. The significance of early echocardiographic examination in suspicion of a pulmonary embolism is stressed. If there are floating emboli in the heart, emergency care is required, but there is no clear consensus regarding the optimal theapeutic approach.
Summary		Gibljivi trombi v srcu so odlitki perifernih in medeničnih ven, ki se na poti v pljuča predhodno ustavijo v srcu. Čeprav jih redko vidimo, so klinično pomembni, ker napovedujejo masivno pljučno embolijo in visoko umrljivost. Opisana sta 2 bolnika, prvi z gibljivim trombom v desnem preddvoru in drugi z gibljivim trombom v levem preddvoru, zagozdenem v odprto ovalno okence. Med diagnstičnimi preiskavami je poudarjen pomen zgodnjega ehokardiografskega pregleda pri sumu na pljučno embolijo. Pri gibljivih trombih v srcu je potrebno takojšnje zdravljenje, vendar pa dogovora o najprimernejšem zdravljenju zaenkrat še ni.
Descriptors		PULMONARY EMBOLISM HEART DISEASES THROMBOSIS HEART ATRIUM ECHOCARDIOGRAPHY RISK FACTORS PROGNOSIS DYSPNEA, PAROXYSMAL SYNCOPE THROMBOLYTIC THERAPY