热气球在左侧的空气中
Pedro Rocha Carvalho1, Catarina Ribeiro Carvalho1, José Paulo Fontes1
1Department of Cardiology, Hospital Center of Trás-os-Montes e Alto Douro, Vila Real, Portugal.
Journal of cardiovascular echography
|August 1, 2024
概括
一个被怀疑是血栓的大型左心房质量,偶然地在一个生物关节的患者身上被发现. 抗凝治疗导致心脏质量完全消失.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 一名54岁的患有高血压,脂质失调和糖尿病的患者接受了用生物假肢替换 mitra 的手术.
- 在用于乳腺癌分期的计算机断层扫描期间,偶然发现左心房填充量减少.
研究的目的:
- 报告一例在中心置换后偶然发现的左心房质量.
- 用多式成像来说明心脏质量的诊断和管理方法.
主要方法:
- 转食管回声心电图,以评估左心房质量和中心假体.
- 心脏磁共振成像用于质量表征.
- 为怀疑发生血栓而启动抗凝治疗.
主要成果:
- 检测到一个相当大的回声质量 (3.0厘米×3.5厘米),附着在左心室的 mitra 假肢环上.
- 观察到轻微的周围假肢反.
- 质量在4周内显著减小,在6周的抗凝剂治疗后完全消失.
结论:
- 偶发的心脏质量需要使用成像模式的组合进行彻底评估.
- 抗凝药可以有效治疗与假体门相关的左心房血栓.
- 多式成像方法对于准确诊断和心脏质量的管理至关重要.
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