Gulati M, Furlong K, DeCara J, Spencer K T, Lang R M
University of Chicago, Division of Cardiology, Department of Medicine, Illinois 60637, USA.
J Am Soc Echocardiogr. 2001 Dec;14(12):1230-4. doi: 10.1067/mje.2001.114396.
We report a case of a 38-year-old woman with a prosthetic mitral valve who presented with multiple embolic events. Transesophageal echocardiography was used to diagnose nonobstructive thrombi on the prosthetic valve. She underwent successful thrombolytic therapy. The patient was discovered to be in a hypercoagulable state, which probably was caused by the concomitant use of phenytoin. We review the literature for diagnosis and treatment of nonobstructive prosthetic valve thrombosis.
我们报告一例38岁患有人工二尖瓣的女性，她出现了多次栓塞事件。经食管超声心动图用于诊断人工瓣膜上的非阻塞性血栓。她接受了成功的溶栓治疗。该患者被发现处于高凝状态，这可能是由同时使用苯妥英引起的。我们回顾了关于非阻塞性人工瓣膜血栓形成的诊断和治疗的文献。
