在左心室辅助装置植入后出现多血管冠状动脉栓塞的大动脉根栓塞
Radhay Parikh1, Chloe Kharsa2, Rody G Bou Chaaya2
1Baroda Medical College, Vadodara, Gujarat, India.
JACC. Case reports
|March 12, 2026
概括
大动脉根栓塞是左心室辅助器件 (LVAD) 患者的罕见并发症. 在出现心肌梗塞的LVAD患者中,迅速评估冠状动脉栓塞至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 血管外科 血管外科
背景情况:
- 大动脉根栓塞是使用连续流动左心室辅助器件 (LVAD) 的患者的一种罕见但严重的并发症.
- 这一案例突出显示了一名LVAD植入后的年轻患者中罕见的一种主动脉根血栓形成.
研究的目的:
- 描述一个与多血管冠状动脉栓塞有关的大动脉根血栓的独特病例,该病例发生在患有HeartMate 3 LVAD的患者身上.
- 强调在患有心肌梗塞的LVAD患者考虑主动脉根血栓的重要性.
主要方法:
- 一个28岁的女性患者在LVAD植入后出现昏迷和心肌梗塞的病例报告.
- 诊断工作包括心电图,心声图和冠状动脉血管图.
- 管理涉及密集的医疗治疗,由于高栓塞风险.
主要成果:
- 冠状动脉扫描显示了一个移动的大动脉根血栓,导致多血管冠状动脉栓塞.
- 患者经历了临床稳定,并进行了密集的医疗治疗.
- 心声图显示了双心室功能障碍和持续的大动脉关闭.
结论:
- 大动脉根栓塞是连续流动LVAD患者的关键并发症.
- 在LVAD患者的心肌梗塞需要紧急评估冠状动脉栓塞,而不仅仅是动脉样硬化的疾病.
- 对于冠状动脉栓塞的大动脉根血栓,个性化,多学科的管理是必不可少的.
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