肺静脉茎:一个左前庭心血管源
Austin Deets1, Ali Ali2, Nour Ghosoun3
1Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Aurora Health Care, Milwaukee, Wisconsin, USA. Electronic address: https://twitter.com/DeetsAustin.
血栓形成可能发生在左心房附属体 (LAA) 外在手术后的肺静脉茎. 综合性回声心脏图学对于在心脏转变之前检测这些血栓至关重要,特别是在高风险患者中.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 手术并发症 手术并发症
背景情况:
- 左心房附属体 (LAA) 是心房失常症中血栓的主要来源.
- 识别血栓源对于预防栓塞事件至关重要.
研究的目的:
- 要突出一个急性四肢缺血病例,最初被误诊为源于LAA血栓.
- 强调LAA之外进行彻底的心声回声评估的重要性.
主要方法:
- 研究了一例急性四肢缺血病例.
- 在直流心脏转换之前进行过食管回声心脏成像.
- 心声学评估了LAA,并确定了肺静脉茎中的血栓.
主要成果:
- 最初的评估表明,由于心房动而导致的LAA血栓引起的栓塞性中风.
- 经食道心声扫描显示,LAA中没有血栓.
- 随后,在术后的肺静脉茎中发现了血栓.
结论:
- 肺静脉茎越来越多地被认为是脑管切除术后心内血栓的来源.
- 在心脏转换前进行全面的食道横断心声扫描对于在LAA之外识别血栓至关重要.
- 在替代地点早期检测血栓对于管理风险人群的栓塞事件至关重要.
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