一名慢性非瓣膜性心房颤动患者的巨大左心房球形血栓

Giant left atrial ball thrombus in a patient with chronic nonvalvular atrial fibrillation.

作者信息

Lee Jae Hoon, Kang Shin Kwang, Lee Cheol Whan, Song Jae Kwan, Park Jung Sik, Choo Suk Jung

机构信息

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Ann Thorac Surg. 2008 Jan;85(1):313-5. doi: 10.1016/j.athoracsur.2007.07.084.

DOI:10.1016/j.athoracsur.2007.07.084

PMID:18154833

Abstract

A 56-year-old woman with chronic nonvalvular atrial fibrillation presented with cardiac arrest during magnetic resonance imaging for back pain evaluation. Brain magnetic resonance imaging performed after cardiopulmonary resuscitation revealed multiple embolic lesions. Transesophageal echocardiography showed a large free floating thrombus ball and multiple mural thrombi in the left atrium. In light of the high-risk situation, an emergency operation was performed despite the occurrence of a fresh stroke within the previous 24 hours. The surgery was successful and the postoperative course was uneventful. The patient has been doing well since the operation on outpatient follow-up for 8 months.

摘要

一名56岁患有慢性非瓣膜性心房颤动的女性，在因背痛接受磁共振成像检查时发生心脏骤停。心肺复苏后进行的脑部磁共振成像显示有多个栓塞性病变。经食管超声心动图显示左心房有一个大的游离漂浮血栓球和多个壁血栓。鉴于这种高风险情况，尽管在过去24小时内发生了新的中风，仍进行了紧急手术。手术成功，术后过程顺利。该患者术后门诊随访8个月，情况良好。