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左束子分支区域步调穿孔由左心室血栓复杂的左心室血栓

Samuel Kim^1,2, Andrea Sit^1,2, Adam Perkovic¹

¹Department of Cardiology, Northern Beaches Hospital, Frenchs Forest, Australia.

JACC. Case reports

|January 17, 2025

概括

左心室血栓,心脏中的血块,可以在隔膜穿孔后发生,在左捆分支区域节奏. 及时的抗凝疗可以导致血栓解脱.

科学领域:

心脏病学心脏病学
心脏电生理学心脏电生理学
医疗成像医学成像

背景情况:

左捆分支区域步调 (LBBAP) 是一种先进的步调技术.
穿孔是心脏植入式电子设备的罕见但严重的并发症.
隔膜穿孔可能导致心室或心脏壁损伤.

研究的目的:

报告LBBAP期间隔膜穿孔的次要心内质量形成的情况.
强调心声回声学在识别与有关的并发症中的诊断效用.
强调抗凝剂在心脏血栓管理中的作用.

主要方法:

一名72岁的女性患者接受了LBBAP.
胸外心声扫描 (TTE) 最初建议隔膜穿孔.
进行过食管回声心脏图 (TEE) 进行了详细的解剖评估.

主要成果:

TEE发现了一个心内质量.
在抗凝固疗法后,质量表现出解决.
研究结果表明,该质量是左心室血栓.

结论:

在LBBAP过程中,隔膜穿孔可能导致左心室血栓形成.
心声学,特别是TEE,对于诊断这种并发症至关重要.
抗凝药是一种有效的治疗方法,可以解决与设备有关的心脏血栓.

关键词:

胸肌梗塞是什么意思胸肌梗塞是什么意思心脏起器的心脏起器超声心电图 (Echocardiography) 是一种心声回声仪.血栓的发生血栓的发生

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