非心脏手术围手术期复发性机械性人工三尖瓣血栓形成的管理：一例报告
Management of recurrent mechanical prosthetic tricuspid valve thrombosis in the perioperative period of noncardiac surgery: a case report.
作者信息
Hussain Amena, Vagaonescu Tudor
机构信息
Department of Cardiovascular Diseases and Hypertension, Robert Wood Johnson University Hospital, 5th floor MEB, 1 RWJ Place, New Brunswick, NJ, 08901, USA.
出版信息
J Med Case Rep. 2012 Jun 12;6:150. doi: 10.1186/1752-1947-6-150.
INTRODUCTION
Mechanical valves in the tricuspid position may be prone to thrombosis with even brief lapses in anticoagulation. The management of patients with a history of recurrent mechanical tricuspid valve thrombosis who require noncardiac surgery is complex.
CASE PRESENTATION
A 43-year-old Pakistani woman with a mechanical tricuspid valve and a history of multiple episodes of mechanical valve thrombosis presented for noncardiac surgery. After her surgery she was found to have another episode of valve thrombosis and underwent a redo tricuspid valve replacement.
CONCLUSION
This case brings up the important dilemma that exists when patients with a mechanical tricuspid valve and a history of recurrent valve thrombosis require noncardiac surgery.
引言
三尖瓣位置的机械瓣膜即使在抗凝治疗稍有中断时也可能易于形成血栓。有复发性机械性三尖瓣血栓形成病史且需要进行非心脏手术的患者的管理很复杂。
病例介绍
一名43岁患有机械性三尖瓣且有多次机械瓣膜血栓形成发作史的巴基斯坦女性前来接受非心脏手术。术后她被发现又发生了一次瓣膜血栓形成，并接受了再次三尖瓣置换术。
结论
该病例提出了一个重要的两难问题，即患有机械性三尖瓣且有复发性瓣膜血栓形成病史的患者需要进行非心脏手术时所面临的问题。
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