Smolinsky A, Ziskind Z, Mohr R, Goor D A, Motro M
Department of Cardiac Surgery, Sheba Medical Center, Tel Hashomer, Israel.
Thorax. 1990 Jul;45(7):548-51. doi: 10.1136/thx.45.7.548.
Emergency left ventricular thrombectomy was performed on four patients soon after infarction. In three patients surgery was carried out after embolisation had occurred and when a large, residual, protruding, mobile thrombus remained in the left ventricle. Surgery was performed in the fourth patient after a high risk thrombus was detected and initial attempts to lyse it had failed. All four patients had an uneventful recovery and were discharged within two weeks of surgery. These cases indicate that the therapeutic option of left ventricular thrombectomy is feasible for patients with acute infarcts and problematic left ventricular thrombi.
4例患者在心肌梗死后不久接受了急诊左心室血栓切除术。3例患者在发生栓塞后，左心室内仍残留有大的、突出的、可移动的血栓时进行了手术。第4例患者在检测到高危血栓且最初溶栓尝试失败后进行了手术。所有4例患者均恢复顺利，并在术后两周内出院。这些病例表明，对于急性心肌梗死合并左心室血栓形成的患者，左心室血栓切除术是一种可行的治疗选择。
