在患有当代持久LVAD的患者中,大动脉根性血栓栓塞和相关的急性心肌梗塞

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Raziye Ecem Akdogan¹, Larissa Check¹, Brian A Houston¹

¹Division of Cardiology, Medical University of South Carolina, Charleston, South Carolina, USA.

JACC. Case reports

|August 19, 2024

概括

在HeartMate 3左心室辅助装置患者中,大动脉根凝块可能发生,可能导致冠状动脉阻塞. 心脏移植可以治疗这种并发症和相关的右心室衰竭.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
心血管外科心血管外科

背景情况:

心脏Mate 3左心室辅助器件 (LVAD) 对于高级心力衰竭治疗至关重要.
大动脉根系血栓是LVAD的潜在并发症,但其发生率和风险尚未得到充分确定.
血栓塞栓事件对LVAD患者构成重大风险.

研究的目的:

在HeartMate 3 LVAD患者中调查大动脉根血栓的发生.
描述大动脉根血栓栓塞的临床表现和结果.
评估心脏移植作为与LVAD相关的血栓栓塞性疾病和右心室衰竭的治疗方法.

主要方法:

两个患有HeartMate 3 LVADs的患者的病例系列介绍.
临床数据审查,包括诊断成像和程序结果.
分析治疗策略,包括心脏移植.

主要成果:

两名患有HeartMate 3 LVAD的患者发生了大动脉根血栓.
大动脉根的血栓导致了两名患者的急性冠状动脉封闭.
一名因耐火性右室衰竭和血栓塞栓性疾病的患者成功进行了心脏移植.

结论:

大动脉根系血栓是HeartMate 3 LVADs的一种已知的并发症.
对大动脉根血栓的二次性血栓栓塞事件可以表现为急性冠状动脉综合征.
心脏移植是一种潜在的治疗选择,用于管理涉及LVADs,大动脉根血栓和右心室衰竭的复杂病例.

关键词:

心脏Mate 3 左心室辅助设备剧烈的心肌梗塞急性心肌梗塞大动脉根的血栓,大动脉根的血栓.右心室衰竭是什么意思

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