一个患有自发回声对比症的患者的缺血性并发症 接受皮肤穿左心室附属体关闭
Weronika Byliniak1, Maria Pręgowska1, Patrycjusz Stokłosa1
1National Institute of Cardiology, Warsaw, Poland.
JACC. Case reports
|October 18, 2025
概括
在左心房内自发的回声对比可能会增加与设备相关的血栓形成的风险和在左心房尾关闭 (LAAC) 后的大脑病变. 对于接受LAAC的患者来说,仔细监测至关重要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 左心房尾关闭 (LAAC) 是预防中风的常见程序.
- 沉默的脑缺血病变和与器件相关的血栓形成 (DRT) 是LAAC的已知并发症.
研究的目的:
- 报告一个病人的病例,该病人在LAAC后发展了DRT和新的脑缺血病变.
- 为了突出左心房自发回声对比和血栓性并发症之间的潜在关联.
主要方法:
- 一个病例报告,一名87岁的女性用Watchman FLX设备接受LAAC.
- 超食管回声心电图 (TEE) 和连续磁共振成像 (MRI) 用于监测.
- 管理涉及抗凝药和连续成像随访.
主要成果:
- 患者在30天的随访中出现了大量的DRT,这种情况通过抗凝药逐渐得到缓解.
- 连续的MRI显示了5个新的脑缺血病变.
- 在手术过程中,在左心房中观察到自发的回声对比.
结论:
- 左心房自发回声对比可能是LAAC后血栓性并发症的危险因素.
- 这一案例强调了在接受LAAC的患者中识别和管理自发回声对比的重要性.
- 需要进一步的研究来阐明自发回声对比和不良血栓事件之间的联系.
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