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[心肌梗死后早期左心室血栓。基于1例观察病例的风险及治疗方法]

[Left ventricular thrombus in early phase after myocardial infarction. Risk and treatment methods based on an observed case].

作者信息

Nowosad Halina, Derkacz Arkadiusz, Staniszewska-Marszałek Edyta, Nowicki Przemysław, Stupiński Wojciech, Kustrzycki Wojciech

机构信息

Klinika Chirurgii Serca AM, Wrocław, Poland.

出版信息

Kardiol Pol. 2003 May;58(5):380-4; discussion: 384.

Abstract

A 55-year-old man was admitted to our Department four weeks after anterior myocardial infarction. A large, mobile thrombus was diagnosed on echocardiography. On the third day of hospitalization systemic arterial embolism with left femoral artery localization occurred. The embolus was removed surgically. During 3-month follow-up the patient received anticoagulant therapy with complete resolution of ventricular thrombus. Therapeutic options in this case are discussed.

摘要

一名55岁男性在急性心肌梗死后四周入住我科。超声心动图诊断为一个大的、可移动的血栓。住院第三天发生了左股动脉部位的系统性动脉栓塞。通过手术取出了栓子。在3个月的随访期间,患者接受了抗凝治疗,心室血栓完全消退。本文讨论了该病例的治疗选择。

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