[二尖瓣狭窄所致左心房巨大球形血栓的成功清除]

[A successful removal of a left atrial massive ball thrombus caused by mitral stenosis].

作者信息

Noda H, Mori F, Miyamoto M, Tsuboi H, Katoh T, Suzuki K, Esato K, Furutani Y, Ogawa H, Matsuzaki M

机构信息

First Department of Surgery, Yamaguchi University School of Medicine.

出版信息

Kyobu Geka. 1990 Dec;43(13):1097-9.

PMID:2273680

Abstract

A 66-year-old female with a mitral stenosis and a left atrial massive ball thrombus is presented. She was admitted due to a transient right hemiplegia and a speech disturbance. This thrombus had been detected preoperatively by an echocardiogram and a left atriography. A mitral valve replacement using a Björk-Shiley valve 27 mm, accompanied with the removal of the thrombus was performed. The ball thrombus was dark red, 55 x 35 x 32 mm in size and 15 g in weight. After the surgery, the patient progressed well. Because of the high frequency of peripheral embolism and of sudden death, a left atrial ball thrombus should be removed immediately.

摘要

本文报道了一名66岁患有二尖瓣狭窄和左心房巨大球形血栓的女性患者。她因短暂性右偏瘫和言语障碍入院。术前通过超声心动图和左心房造影检查发现了该血栓。采用27mm的 Björk-Shiley瓣膜进行二尖瓣置换术，并同时清除血栓。球形血栓呈暗红色，大小为55×35×32mm，重量为15g。术后患者恢复良好。鉴于外周栓塞和猝死的发生率较高，左心房球形血栓应立即清除。