Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.
J Chin Med Assoc. 2009 Dec;72(12):646-9. doi: 10.1016/S1726-4901(09)70448-4.
We report on a patient who was referred for percutaneous transvenous mitral commissurotomy for symptomatic mitral stenosis. However, transthoracic and transesophageal echocardiography both revealed a large mobile left atrial thrombus, occupying almost half of the left atrial body. Because the patient strongly declined surgical mitral treatment, he was administered warfarin for 2 years. Complete resolution of left atrial thrombus was confirmed by follow-up transesophageal echocardiography. Successful percutaneous transvenous mitral commissurotomy was undertaken without complications.
我们报告了一例因症状性二尖瓣狭窄而行经皮经腔二尖瓣交界分离术的患者。然而，经胸超声心动图和经食管超声心动图均显示左心房内有一个大而活动的血栓，占据了左心房体的近一半。由于患者强烈拒绝二尖瓣手术治疗，他接受了华法林治疗 2 年。随访经食管超声心动图证实左心房血栓完全溶解。经皮经腔二尖瓣交界分离术成功进行，无并发症。
