Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome

被引：1
作者：
Gorgone, Matthew [1 ]
Novelli, Enrico M. [2 ]
Patel, Simmi [3 ]
Lamberty, Phillip E. [1 ]
De Castro, Laura M. [2 ]
Gladwin, Mark T. [4 ]
Maximous, Stephanie, I [1 ]
机构：
[1] Univ Pittsburgh, Med Ctr, Dept Med, Div Pulm Allergy & Crit Care Med, Pittsburgh, PA USA
[2] Univ Pittsburgh, Med Ctr, Dept Med, Sect Benign Hematol, Pittsburgh, PA USA
[3] Univ Pittsburgh, Med Ctr, Dept Pathol, Pittsburgh, PA USA
[4] Univ Pittsburgh, Sch Med, Pittsburgh Heart Lung & Blood Vasc Med Inst, Div Pulm Allergy & Crit Care Med, Pittsburgh, PA USA
来源：
RESPIRATORY MEDICINE CASE REPORTS | 2022年 / 39卷
关键词：
Sickle cell disease; Paradoxical embolism; Point of care ultrasound; Critical care; SICKLE-CELL-DISEASE; PULMONARY-HYPERTENSION; EMBOLISM; ECHOCARDIOGRAPHY; GUIDELINES; MANAGEMENT; SOCIETY;
D O I：
10.1016/j.rmcr.2022.101724
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Patients with sickle cell disease can develop acute chest syndrome and are at high risk of developing pulmonary thrombosis. We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke, discovered on point of care ultrasound to have right heart failure and a thrombus straddling a patent foramen oval. POCUS is highly specific for the detection of right heart dilation/dysfunction and should be a routine component of the assessment of acutely decompensating patients.
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页数：5
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