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二尖瓣狭窄患者经传统抗凝治疗后大型心房血栓及冠状动脉新生血管消退——病例报告

Regression of large atrial thrombi and coronary neovascularizations with conventional anticoagulation in mitral stenosis--a case report.

作者信息

Al-Bezem R, Kwan T, Clark L T

机构信息

Department of Medicine, State University of New York, Health Science Center at Brooklyn, 11203, USA.

出版信息

Angiology. 1999 Oct;50(10):859-63. doi: 10.1177/000331979905001011.

Abstract

The authors report a case of angiographically documented multiple coronary neovascularizations originating from the left circumflex artery (LCX) and coursing toward multiple thrombi located in the left atrium in a patient with severe mitral stenosis. The thrombi as well as the neovascularizations underwent near-complete resolution with 4 weeks' anticoagulation therapy with warfarin maintaining an international normalization ratio of 3.5. Percutaneous mitral balloon valvuloplasty was performed successfully without complications.

摘要

作者报告了一例血管造影证实的病例,该病例中一名患有严重二尖瓣狭窄的患者,多条冠状动脉新生血管起源于左旋支动脉(LCX),并通向位于左心房的多个血栓。经过4周的华法林抗凝治疗,维持国际标准化比值为3.5,血栓和新生血管几乎完全消退。成功进行了经皮二尖瓣球囊成形术,无并发症。

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