一个罕见的动脉血栓发生病例 12年后生物假体植入
Zeyad Kholeif1, Rana Rashwan1, Omar Aboukhatwa1
1Department of Cardiology, Mayo Clinic, Rochester, Minnesota, USA.
JACC. Case reports
|July 11, 2025
概括
晚期生物假体血栓形成 (BPVT) 可能发生在植入后的几年. 这一案例凸显了手术后12年BPVT是可能的,特别是在有前凝血状态的患者中,强调了长期监测的必要性.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
背景情况:
- 生物假体血栓症 (BPVT) 通常发生在植入后3个月内.
- 晚期发病的BPVT,在植入后几年发生,不常见但可能.
研究的目的:
- 在大动脉置换后12年发生的晚发性BPVT病例报告.
- 强调在生物假体门的长期管理中考虑BPVT的重要性.
主要方法:
- 一个75岁的男性患有心力衰竭和心脏发作性休克的病例报告 12年后的前列动脉置换.
- 通过心声学和心脏计算机断层扫描证实了诊断.
- 用口服抗凝剂进行治疗.
主要成果:
- 用口服抗凝剂成功管理BPVT,导致减少门梯度.
- 证明BPVT可以显著地晚于通常观察到的时间表现.
结论:
- 晚期BPVT是可能的,即使是在生物假肢植入后12年.
- 没有足够的抗凝剂的心房动等危险因素可能导致晚期BPVT.
- 抗凝药仍然是主要的治疗方法,对晚期BPVT的警对于患者的结果至关重要.
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