[左心房中的巨型血栓显示出快速增长:病例报告]
Takuma Muraoka1, Kazufumi Suzuki, Masami Kuramochi
1Department of Cardiovascular and Thoracic Surgery, Mito Saiseikai General Hospital, Mito, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|March 9, 2024
概括
一个最初被怀疑是血液透析患者的瘤的大型左心房质量被手术切除. 病理学检查显示,这是血栓,成功地用抗凝药治疗.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 病理学 病理学 病理学
背景情况:
- 一名74岁的妇女因慢性病接受血液透析,出现左心房损伤.
- 病变最初为20毫米,在两个月内迅速增长到30毫米.
研究的目的:
- 在血液透析患者中调查快速增长的左心房病变的性质.
- 确定针对已识别的病变的适当治疗策略.
主要方法:
- 查回声心脏图以检测病变.
- 在心肺旁路术下手术切除左心房病变.
- 切除的组织的病理检查.
- 手术后开始抗凝治疗.
主要成果:
- 病变的特征是体状,有薄的茎.
- 病理诊断证实病变是血栓,而不是瘤生长.
- 患者在开始服用抗凝血药物后被送出院.
结论:
- 在血液透析患者中,快速增长的左心房质量可能代表血栓.
- 手术切除后进行抗凝治疗是这种血栓的有效治疗方法.
- 区分血栓和瘤病变对于适当的患者管理至关重要.
相关概念视频
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
1.2K
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.2K
Venous Thrombosis I: Introduction
822
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
822
Pulmonary Embolism I: Introduction
1.5K
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
1.5K
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
749
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
749


