主动脉内球囊反搏术后急性胸主动脉血栓形成

Acute thoracic aortic thrombosis after intra-aortic balloon pumping.

作者信息

Aggeli Constadina, Barberis Vassilis I, Vlachopoulos Charalambos, Tsiamis Eleftherios, Stefanadis Christodoulos

机构信息

First Department of Cardiology, Athens Medical School, Hippokration Hospital, Athens, Greece.

出版信息

Eur J Echocardiogr. 2006 Mar;7(2):175-6. doi: 10.1016/j.euje.2005.04.001.

DOI:10.1016/j.euje.2005.04.001

PMID:15908281

Abstract

We present two transesophageal echocardiographic images of a patient with acute myocardial infarction, demonstrating a large thrombus attached to the thoracic aortic wall, considered to be a complication of intra-aortic balloon pumping. The patient had received the device because of hemodynamic instability due to an infarct-related ventricular septal defect. Clinical manifestations which led to the diagnosis of thromboembolism were abdominal pain and deterioration of renal function, without signs of limb ischemia.

摘要

我们展示了一名急性心肌梗死患者的两张经食管超声心动图图像，显示一个附着于胸主动脉壁的大血栓，被认为是主动脉内球囊反搏的并发症。该患者因梗死相关的室间隔缺损导致血流动力学不稳定而接受了该装置。导致血栓栓塞诊断的临床表现为腹痛和肾功能恶化，无肢体缺血迹象。