矛盾的栓塞通过专利卵膜:一个病例报告的血栓在过境
Shin Yee Lok1, Siobhan Lockwood2, Timothy K Yang2
1Department of Surgery, Frankston Hospital, Frankston, Victoria, Australia.
The American journal of case reports
|June 28, 2025
概括
通过 patent foramen ovale 的悖论性栓塞是手术后静脉血栓栓塞的罕见并发症. 在这种情况下,早期识别和干预对于管理中风和肺栓塞至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 通过 patent foramen ovale (PFO) 的悖论性栓塞是静脉血栓塞栓症 (VTE) 的罕见但严重的并发症.
- 它带来很大的风险,特别是在最近的手术后.
- 这个案例突出了一个41岁的妇女经历了矛盾的脑血栓栓塞.
研究的目的:
- 为了呈现一个矛盾的大脑血栓栓塞症的病例,由于血栓通过PFO过境.
- 强调在类似的临床场景中迅速识别和干预的关键需要.
- 为了强调在患有并发性中风和肺栓塞的患者中考虑矛盾栓塞的重要性.
主要方法:
- 计算机断层扫描肺血管扫描发现了一个式肺栓塞.
- 大脑的磁共振成像显示了急性缺血性中风.
- 胸外心声检测到一个移动的血栓穿过PFO从右心房到左心房和心室.
主要成果:
- 患者出现昏迷和头部受伤两周后静脉缩手术.
- 开始初始的抗凝治疗,随后是新兴的肺栓塞切除,心房血栓切除,并由于高栓塞风险而关闭PFO.
- 患者因深静脉血栓形成而接受阿皮克萨班治疗,并继续康复.
结论:
- 这一案例强调了在中风和肺栓塞患者中怀疑矛盾栓塞的重要性,特别是在手术后.
- 彻底的风险评估和多学科的合作对于在PFO中进行血栓的最佳管理至关重要.
- 早期和果断的干预可以预防复发的栓塞事件,并改善患者的治疗结果.
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