心脏 Amyloidosis 与右心室附属体血栓在左心室附属体闭塞后被检测到
Kenji Nakano1, Masato Fukunaga1, Akihiro Isotani1
1Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
JACC. Case reports
|April 4, 2025
概括
左心房附属体封闭 (LAAO) 可以预防中风,但心脏粉症 (CA) 患者在停止服用抗凝剂后可能会发展右心房附属体 (RAA) 血栓. 个人评估对于LAAO后的安全抗凝管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 左心房尾阻塞 (LAAO) 为预防中风提供了抗凝药的替代方案.
- 研究表明,在LAAO后,抗凝剂的停用率很高.
研究的目的:
- 评估LAAO在患有心脏粉症 (CA) 的患者的安全性和有效性.
- 为了突出在CA患者中LAAO后心内血栓形成的风险.
主要方法:
- 在一个88岁的女性CA.患者身上进行LAAO手术.
- 在LAAO后停止了抗凝药治疗.
- 随访成像显示了偶然的右心房附属体 (RAA) 血栓.
主要成果:
- 在发现RAA血栓后,恢复了抗凝药.
- 在1年的随访期间没有观察到任何临床事件.
- 在这位CA患者中,LAAO证明有效预防中风.
结论:
- 对于CA患者来说,LAAO是一种可行的中风预防策略.
- 心脏粉症会增加心脏内血栓形成的风险.
- 在LAAO后停止抗凝药需要仔细考虑潜在的RAA血栓,特别是在高危人群中.
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