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主动脉瓣反流导致 HeartMate II 左心室辅助装置患者出现泵血栓假象的溶血:病例报告。

Hemolysis from aortic regurgitation mimicking pump thrombosis in a patient with a HeartMate II left ventricular assist device: a case report.

机构信息

Department of Internal Medicine, Division of Cardiology, Mayo Clinic, Arizona 85054, USA.

出版信息

ASAIO J. 2012 May-Jun;58(3):278-80. doi: 10.1097/MAT.0b013e31824708a8.

Abstract

Device-related hemolysis leading to anemia is a recognized chronic complication of a left ventricular assist device (LVAD). With the increased usage of the LVAD in the management of end-stage heart failure, an increased number of complications are being recognized. We present a case where a combination of elevated mean arterial pressure and development of aortic regurgitation resulted in increased hemolysis, power spikes, and anemia, mimicking device thrombus, resulting in a diagnostic dilemma.

摘要

与装置相关的溶血导致贫血是左心室辅助装置(LVAD)的一种公认的慢性并发症。随着 LVAD 在终末期心力衰竭治疗中的应用增加,越来越多的并发症被认识到。我们报告了一个病例,其中平均动脉压升高和主动脉瓣反流的发展导致溶血、功率尖峰和贫血增加,类似于装置血栓,导致诊断困境。

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