移动性主动脉弓血栓合并全身栓塞——一个治疗困境。
A case of mobile aortic arch thrombus with systemic embolisation--a management dilemma.
机构信息
Department of Cardiology, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia.
Department of Cardiology, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia; The University of Queensland, Brisbane, QLD, Australia.
出版信息
Heart Lung Circ. 2014 Mar;23(3):e88-91. doi: 10.1016/j.hlc.2013.09.009. Epub 2013 Oct 17.
We report the case of splenic infarct secondary to embolisation from a polypoid 17 mm×10 mm thoracic aorta thrombi in a 60 year-old female. The management and prognostic value of thoracic aorta thrombi are poorly defined in literature. This patient was successfully treated with oral anticoagulation as opposed to surgical intervention. Repeat transoesophageal echocardiography and computed tomography have demonstrated marked reduction in thrombi size with no further embolic event.
我们报告了一例 60 岁女性因 17mm×10mm 胸主动脉血栓形成的息肉样赘生物栓塞导致脾梗死的病例。文献中对胸主动脉血栓形成的处理和预后价值定义不明确。该患者成功接受了口服抗凝治疗，而非手术干预。重复经食管超声心动图和计算机断层扫描显示血栓大小明显减小，且无进一步的栓塞事件。
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