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经皮二尖瓣成形术后左心房血栓致腹主动脉意外栓塞性梗阻

Inadvertent embolic obstruction of abdominal aorta from left atrial thrombus after percutaneous mitral valvuloplasty.

作者信息

Park J H, Lee G, Han J K, Kim S J, Lee M M

机构信息

Department of Radiology, Seoul National University College of Medicine, Korea.

出版信息

Cardiovasc Intervent Radiol. 1990 Dec;13(6):351-3. doi: 10.1007/BF02578673.

DOI:10.1007/BF02578673
PMID:2126991
Abstract

Inadvertent embolic obstruction of the distal abdominal aorta and left renal artery during a percutaneous mitral valvuloplasty procedure in a patient with mitral stenosis is reported. The embolism was from a left atrial thrombus which was detected by magnetic resonance imaging (MRI) but not by transesophageal echocardiography.

摘要

据报道,一名二尖瓣狭窄患者在经皮二尖瓣成形术过程中,发生了远端腹主动脉和左肾动脉的意外栓塞梗阻。栓塞来自左心房血栓,该血栓通过磁共振成像(MRI)检测到,但经食管超声心动图未检测到。

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本文引用的文献

1
Percutaneous balloon valvotomy for patients with severe mitral stenosis.
Circulation. 1987 Apr;75(4):778-84. doi: 10.1161/01.cir.75.4.778.
2
Saddle embolism of the aorta. A complication of streptokinase therapy.主动脉鞍状栓塞。链激酶治疗的一种并发症。
Cardiology. 1986;73(3):156-9. doi: 10.1159/000174000.
3
Diagnostic accuracy of two-dimensional echocardiography for detection of left atrial thrombus in patients with mitral stenosis.二维超声心动图对二尖瓣狭窄患者左心房血栓检测的诊断准确性。
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Balloon dilation of mitral stenosis in adult patients: postmortem and percutaneous mitral valvuloplasty studies.
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5
Cardiac tumors and thrombus: evaluation with MR imaging.心脏肿瘤与血栓:磁共振成像评估
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6
Embolization of cardiac mural thrombus: complication of intraarterial fibrinolysis.心脏壁血栓栓塞:动脉内纤维蛋白溶解的并发症。
Radiology. 1988 Jul;168(1):95-6. doi: 10.1148/radiology.168.1.3380988.
7
Oesophageal echocardiography.
Int J Card Imaging. 1987;2(4):231-9. doi: 10.1007/BF01784779.
8
Transesophageal echocardiography: technique, anatomic correlations, implementation, and clinical applications.经食管超声心动图:技术、解剖关联、操作及临床应用
Mayo Clin Proc. 1988 Jul;63(7):649-80. doi: 10.1016/s0025-6196(12)65529-3.
9
Results of percutaneous mitral commissurotomy in 200 patients.200例经皮二尖瓣交界切开术的结果。
Am J Cardiol. 1989 Apr 1;63(12):847-52. doi: 10.1016/0002-9149(89)90055-6.