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World Journal of Clinical Cases 2024年第5期12卷 973-979页

作者： Yao-Bang Bai Feng Zhao Zhen-Hua Wu Guo-Ning Shi Nan Jiang Intensive Care Unit Department of Cardiac SurgeryTianjin Chest HospitalTianjin 300222China Department of Cardiac Surgery Tianjin Chest HospitalTianjin 300222China

BACKGROUND Venoarterial(VA)extracorporeal membrane oxygenation(ECMO),an effective short-term circulatory support method for refractory cardiogenic shock,is widely ***,retrospective analyses have shown that VA-ECMO-assisted cases were associated with a relatively high mortality rate of approximately 60%.Embolization in important organs caused by complications of left ventricular thrombosis(LVT)during VA-ECMO is also an important *** the incidence of LVT during VA-ECMO is not high,the consequences of embolization are *** SUMMARY A 37-year-old female patient was admitted to hospital because of fever for 4 d and palpitations for 3 *** excluding the diagnosis of coronary heart disease,we established a diagnosis of“clinically explosive myocarditis”.The patient still had unstable hemodynamics after drug treatment supported by VA-ECMO,with heparin for *** day 4 of ECMO support,a left ventricular thro-mbus attached to the papillary muscle root of the mitral valve was found by transthoracic *** ventricular decompression was performed and ECMO was successfully removed,but the patient eventually died of multiple cerebral *** LVT with high mobility during VA-ECMO may cause embolism in important ***,a"wait and see"strategy should be avoided.

关键词： Venoarterial extracorporeal membrane oxygenation Left ventricular thrombosis cerebral embolism Magnetic Resonance Imaging Therapy Case report

Pulmonary and cerebral lipiodol embolism after transcatheter arterial hemoembolization in hepatocellular carcinoma

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World Journal of Gastroenterology 2009年第5期15卷 633-635页

作者： Jian-Jun Wu Ming Chao Guang-Qiang Zhang Bin Li Fei Dong Department of Radiology Second Affiliated Hospital Zhejiang University School of Medicine 88 Jiefang Road Hangzhou 310009 Zhejiang Province China

Pulmonary and cerebral lipiodol embolism after transcatheter arterial chemoembolization (TACE) of hepatocellular carcinoma is rare. To our knowledge, only 7 cases have been reported in the literature. We present a case of pulmonary and cerebral lipiodol embolism, and analyzed retrospectively the imaging and clinical data of the patient and conclude the most probable mechanism of pulmonary and cerebral lipiodol embolism, which is different from that of the cases reported previously.

关键词： Pulmonary embolism cerebral embolism Lipiodol Transcatheter arterial chemoembolization Hepatocellular carcinoma Complication

cerebral and pulmonary embolisms after transcatheter arterial chemoembolization for hepatocellular carcinoma

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World Journal of Gastroenterology 2008年第30期14卷 4834-4837页

作者： Chang Soo Choi Ki Hoon Kim Geom Seog Seo Eun Young Cho Hyo Jeong Oh Suck Chei Choi Tae Hyeon Kim Haak Cheoul Kim Byung Suk Roh Department of Internal Medicine and Digestive Disease Research Institute Wonkwang University School of Medicine Department of Radiology Wonkwang University School of Medicine

A cerebral lipiodol embolism is an extremely rare complication of transcatheter arterial chemoembolization for hepatocellular carcinoma. We present a case of cerebral lipiodol embolism that occurred after the third ar... 详细信息

关键词： Transcatheter arterial chemoembolization cerebral embolism Complication Hepatocellular carcinoma Lipiodol

Rare pulmonary and cerebral complications after transarterial chemoembolisation for hepatocellular carcinoma:A case report

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World Journal of Gastroenterology 2008年第41期14卷 6425-6427页

作者： Hua Zhao Hui-Qin Wang Qing-Qiu Fan Xing-Xian Chen Jian-Ying Lou Second Affiliated Hospital Medical College of Zhejiang University Hangzhou 310009 Zhejiang Province China

We report a rare case of acute pulmonary and cerebral complication after transarterial chemoembolisation (TACE) for inoperable hepatocellular carcinoma. The case involved a large tumor and hepatic vein invasion. Nonspecific pulmonary and cerebral symptoms such as acute dyspnoea and transient consciousness loss developed in the patient, a 49-year-old woman, following the TACE due to pulmonary and cerebral oil embolism. The chest and brain conditions of this patient improved after some supportive therapies and nursing interventions. She also subsequently completed the other three procedures of TACE.

关键词： Hepatocellular carcinoma Chemoembolization Therapeutic Pulmonary embolism cerebral embolism

Fat embolism as a Rare Complication of Large‑volume Liposuction in a Plastic Patient

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Journal of Forensic Science and Medicine 2015年第1期1卷 68-71页

作者： Xiaoliang Fu Shang Gao Zhenyu Hu Yadong Guo Jifeng Cai Department of Forensic Science School of Basic Medical SciencesCentral South UniversityChangsha 410013HunanChina Xiangya Medicine College Central South UniversityChangsha 410013HunanChina

Fat embolism is a dreaded complication in of procedures of multiple disciplines including plastic *** the popularity of liposuction increases,cases of pulmonary embolism after liposuction are increasingly ***,documents of cerebral embolism after liposuction are rarely *** degree of disability with respect to Fat fat embolism embolism Symdrome syndrome(FES)is a Gordian Knot in the evaluation of legal ***,it is of great significance for us to that we report the case of a 30‑year‑old woman who underwent a large‑volume liposuction that resulted in serious complications,especially cerebral *** symptoms of fat embolism hamper the clinical diagnosis,particularly after a surgical procedure such as *** a seldom‑seen case would easily trigger medical disputes,especially in countries like China suffering increasing claims of medical malpractice and,medical negligences and *** descriptions of this case are presented below along with the discussion of the clinical symptoms and the diagnostic approaches to fat embolism.

关键词： cerebral embolism complication fat embolism liposuction

Left Atrium Emboligenic Myxoma: Case Report and Review of the Literature

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Open Journal of Thoracic Surgery 2021年第1期11卷 18-24页

作者： Bréhima Coulibaly Abdoulaye Kanté Mamadou Diakité Samba Sidibé Drissa Traoré Bréhima Bengaly Mariam Daou Demba Yattera Nouhoum Ongoïba Department of Thoracic and Cardiovascular Surgery CHU Point G Bamako Mali Laboratory of Anatomy University of Sciences Techniques and Technologies of Bamako Bamako Mali Cardiology Department CHU Point G Bamako Mali Department of Neurology CHU Gabriel Touré in Bamako Mali

Introduction: Cardiac myxomas represent the most frequent forms of primary tumors of the heart. The most frequent location is the interatrial septum. We report the clinical case of a myxoma of the left atrium and discuss its epidemiological and therapeutic aspects through a review of the literature. Observation: This was a 41-year-old female patient who presented with sudden rotational dizziness associated with vomiting. MRI revealed multiple punctiform bilateral supra and subtentorial strokes of different ages, recent and semi-recent, suggesting an embologenic etiology. Transesophageal echocardiography found a large pedunculated, homogeneous, avascular tumor hanging from the interatrial septum. The patient is operated on urgently under cardiopulmonary bypass for resection of a large tumor located in the left atrium. The pathological examination concluded with the diagnosis of myxoma of the left atrium. The postoperative follow-up was straightforward and the patient was discharged from the hospital via home hospitalization. Conclusion: The diagnosis of cardiac myxomas is suspected in the presence of symptoms associated with echocardiographic images of intracardiac masses and confirmed by histological study. Embolic accidents are one of the formidable complications of myxomas. Surgical management is urgent, especially in the presence of predictive morphological features of embolism on echocardiography.

关键词： Myxoma of the Left Atrium cerebral embolism Interest of Trans-Esophageal Ultrasound Surgery

Clinical features of bilateral multiple pulmonary arteriovenous fistulas with paroxysmal aphasia as the first symptom:a case report

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Journal of Translational Neuroscience 2021年第2期6卷 32-36页

作者： Yi Bao Chongliang Lv Tingkang Huang Jun Chen Hanyu Dou Guangjian Liu Department of Neurology Taihe Hospital of Shiyan CityAffiliated Hospital of Hubei Medical UniversityShiyan 442000China

Objective:to describe the clinical features of bilateral multiple pulmonary arteriovenous fistulas(PAF)with paroxysmal aphasia as the first ***:we collected the clinical history and examination data of a patient with paroxysmal *** order to trace the etiology,we performed chest computed tomography(CT)and pulmonary CT angiography(CIA).Results:the patient had paroxysmal aphasia with dizziness,brain magnetic resonance imaging(MRI)showed cerebral infarction,the transcranial Doppler(TCD)foaming test was positive,transesophageal ultrasound showed no patent foramen ovale,and chest CT and CIA showed bilateral multiple ***:bilateral multiple PAF are rare in *** patients have paroxysmal neurological symptoms,the possibility of PAF leading to embolism should be considered.

关键词： aphasia pulmonary arteriovenous fistula(PAF) cerebral embolism transcranial Doppler(TCD)foaming test

Aortic Arch Atherosclerosis——An Important Potential Source Of cerebral Embolic Stroke

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中国临床神经科学 2000年第Z1期8卷 55-页

作者： Yi Guo Shao wen Zhang Si Chen Department of neurology: Shenzhen People Hospital Shenzhen 518020 Department of neurology: Shenzhen People Hospital Shenzhen 518020 Department of neurology: Shenzhen People Hospital Shenzhen 518020

　　Background and purpose: Recent years with use of transesophageal echography renew awareness of aortic atherosclerosis. The purpose of this study was to determine the prevalence, clinical significance, and embolic potential of thoracic aortic plaque in patients with cerebral emblism; and further study the correlation aortic plaque with carotid or heart disease. Method: 49 consecutive patients with cerebral embolism was included in this sutdy. We uscd TEE to evaluated potential source of emboli in aortic arch and heart, and duplex in carotid artery. A atherosclerotic lesion of thoracic aorta was defined as normal(O); mild plaque (1); moderate plaque (2); protruding plaque or mobile plaque (3). Result: 31(63%) patients showed evidence of AAA; 7 (14.3%) patients had mild AAA, 9 (18.4%) patients had moderate AAA and 15 (32.7%) patients had severe AAA, In these 15 patients 11 patients neither severe ICAA or embolic heart disease, the AAA may be responsible to the cerebral embolism; 33 patients had internal carotid arterial atherosclerosis(ICAA), 9 patients had embolic heart disease; Age, ICAA had significant correlated with aortic plaque. Conclusion: Aortic atherosclerosis is common in cerebral embolism. Aortic plaque might be not only responsible for some unexplained embolic event, but also for some of the embolic stroke in the group of patient do have carotid artery or heart disease. Age might be important risk factor for the development of atherosclerotic lesion in the thoracic aorta.

关键词： heart disease cerebral embolism thoracic aorta carotid artery potential source risk factor aortic arch