在外皮ASD关闭后的重复性右心室血栓
Hidemi Kajimoto1, Grant Burch2, Castigliano M Bhamidipati2
1Oregon Health & Science University, Portland, Oregon, USA; University of Iowa, Iowa City, Iowa, USA.
JACC. Case reports
|October 24, 2025
概括
对于心房隔膜缺陷 (ASD) 的设备关闭可能导致罕见的血栓形成. 警的随访和个性化的抗血栓策略对于管理这种严重并发症至关重要.
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:
- 穿皮装置的关闭是第二心房隔膜缺陷 (ASD) 的标准.
- 设备相关的血栓是一种罕见但严重的并发症.
- 对于诊断和管理与设备相关的血栓存在有限的证据.
研究的目的:
- 在ASD关闭后呈现一次复发的设备相关血栓病例.
- 强调警的随访和个性化的抗血栓策略的重要性.
主要方法:
- 一名35岁的妇女接受了一次性ASD的穿皮关闭.
- 她在手术后出现了间歇性发烧.
- 三个月后,通过心声回声仪检测到ASD设备上的移动质量.
- 进行了AngioVac血栓切除术,随后由于复发性血栓而进行了手术切除.
主要成果:
- 在ASD关闭三个月后,患者出现了与设备相关的血栓.
- 复发性血栓形成需要手术干预.
- 这个案例说明了ASD设备关闭的罕见但显著的并发症.
结论:
- 在ASD装置关闭后出现复发性血栓形成并不常见,但可能需要手术治疗.
- 个性化风险评估,考虑到前血栓状况和残留轮流,是必不可少的.
- 警的随访和量身定制的抗血栓策略对于最佳的患者结果至关重要.
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