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[圣犹达二尖瓣人工瓣膜术后无症状性血栓形成。rt-PA溶栓治疗]

[Asymptomatic postoperative thrombosis of a Saint Jude mitral valve prosthesis. Treatment by fibrinolysis with rt-PA].

作者信息

Temkine J, Malergue M C, Berrabha T, Lecompte Y

机构信息

CMC de la porte de Choisy, Paris.

出版信息

Arch Mal Coeur Vaiss. 1991 Mar;84(3):413-7.

PMID:2048930
Abstract

Routine Doppler echocardiography after cardiac surgery demonstrated stenotic dysfunction of a Saint Jude Medical mitral valve prosthesis due to blockage of one hemidisc although the patient was totally asymptomatic. Despite the precocity of this thrombosis (14th postoperative day), thrombolytic treatment was undertaken. It led to normalisation of the Doppler parameters of prosthetic valve function and mobility of the two hemidiscs. Haemopericardium occurred at the end of thrombolytic therapy and was drained easily, a benign complication of early postoperative thrombolysis.

摘要

心脏手术后的常规多普勒超声心动图显示,一名患者植入的圣犹达医疗公司二尖瓣人工瓣膜出现狭窄功能障碍,原因是一个半圆盘受阻,尽管患者完全没有症状。尽管血栓形成较早(术后第14天),仍进行了溶栓治疗。这使得人工瓣膜功能的多普勒参数以及两个半圆盘的活动恢复正常。溶栓治疗结束时发生了心包积血,且很容易排出,这是术后早期溶栓的一种良性并发症。

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[Asymptomatic postoperative thrombosis of a Saint Jude mitral valve prosthesis. Treatment by fibrinolysis with rt-PA].[圣犹达二尖瓣人工瓣膜术后无症状性血栓形成。rt-PA溶栓治疗]
Arch Mal Coeur Vaiss. 1991 Mar;84(3):413-7.
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