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经药物治疗成功治愈的有组织的人工三尖瓣血栓形成。

Organized prosthetic tricuspid valve thrombosis treated successfully with medical treatment.

作者信息

Shin Hyo-Sun, Kim Kyung-Hee, Lee Hee-Sun, Choi Hong-Mi, Lee Seung-Ah, Park Eun-Ah, Kim Hyung-Kwan

机构信息

Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

出版信息

J Cardiovasc Ultrasound. 2013 Dec;21(4):192-6. doi: 10.4250/jcu.2013.21.4.192. Epub 2013 Dec 27.

DOI:10.4250/jcu.2013.21.4.192
PMID:24459569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3894373/
Abstract

Prosthetic valve thrombosis (PVT) can be a life-threatening complication that requires immediate treatment. We present a case of 57-year-old woman with tricuspid PVT who was definitely diagnosed by multi-detector-row computed tomography limited with echocardiography. The patient was treated successfully with an alternative approach using low molecular weight heparin bridging therapy followed by intensifying anticoagulation alone.

摘要

人工瓣膜血栓形成（PVT）可能是一种危及生命的并发症，需要立即治疗。我们报告一例57岁患有三尖瓣PVT的女性病例，该病例通过多排探测器计算机断层扫描并结合超声心动图得以明确诊断。该患者采用低分子量肝素桥接治疗，随后单独强化抗凝的替代方法成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/3501f262367f/jcu-21-192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/14e4764c98dc/jcu-21-192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/362da1d56047/jcu-21-192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/3501f262367f/jcu-21-192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/14e4764c98dc/jcu-21-192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/362da1d56047/jcu-21-192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8359/3894373/3501f262367f/jcu-21-192-g003.jpg

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本文引用的文献

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Successful treatment of mechanical mitral valve thrombosis without thrombolytic therapy or surgery.成功治疗机械二尖瓣血栓形成，无需溶栓治疗或手术。
Can J Cardiol. 2013 Nov;29(11):1532.e1-3. doi: 10.1016/j.cjca.2013.02.026. Epub 2013 Apr 29.
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Prosthetic tricuspid valve thrombosis: three case reports and literature review.人工三尖瓣血栓形成：三例报告及文献综述
J Tehran Heart Cent. 2012 Nov;7(4):147-55. Epub 2012 Nov 30.
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Guidelines on the management of valvular heart disease (version 2012).心脏瓣膜病管理指南（2012年版）
Eur Heart J. 2012 Oct;33(19):2451-96. doi: 10.1093/eurheartj/ehs109. Epub 2012 Aug 24.
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Prosthetic tricuspid valve thrombosis treated successfully with thrombolysis.
Heart. 2012 Apr;98(7):602. doi: 10.1136/heartjnl-2011-301120. Epub 2012 Jan 27.
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Risks related with withholding and resuming anticoagulation in patients with non-variceal upper gastrointestinal bleeding while on warfarin therapy.华法林治疗中伴有非静脉曲张性上消化道出血的患者在抗凝治疗时停药和重新开始抗凝的相关风险。
Int J Clin Pract. 2012 Jan;66(1):64-8. doi: 10.1111/j.1742-1241.2011.02827.x.
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Case study and review: treatment of tricuspid prosthetic valve thrombosis.病例研究与综述：三尖瓣人工瓣膜血栓的治疗。
Int J Cardiol. 2012 Dec 15;162(1):14-9. doi: 10.1016/j.ijcard.2011.09.081. Epub 2011 Oct 14.
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Treatment of prosthetic valve thrombosis: rationale for a prospective randomized clinical trial.人工瓣膜血栓形成的治疗：一项前瞻性随机临床试验的基本原理
J Heart Valve Dis. 2010 Mar;19(2):161-70.
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Comparison of multidetector-row computed tomography to echocardiography and fluoroscopy for evaluation of patients with mechanical prosthetic valve obstruction.多排螺旋计算机断层扫描与超声心动图和荧光透视法在评估机械人工瓣膜梗阻患者中的比较。
Am J Cardiol. 2009 Oct 15;104(8):1128-34. doi: 10.1016/j.amjcard.2009.05.061. Epub 2009 Aug 28.
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