左心室辅助装置更换期间泵血栓所致溶血的消退
Resolution of hemolysis from pump thrombus during left ventricular assist device exchange.
作者信息
Unai Shinya, Hirose Hitoshi, Entwistle John W, Samuels Louis E
机构信息
Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA 19107, United States.
S Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, PA 19107, United States.
出版信息
World J Clin Cases. 2014 Aug 16;2(8):373-6. doi: 10.12998/wjcc.v2.i8.373.
A 50-year-old male who underwent a HeartMate II left ventricular assist device placement for ischemic cardiomyopathy presented with discolored urine and hemolysis 3 mo after the operation. His hemolysis was thought to be due to thrombosis within the pump. Imaging studies were not able to visualize a left ventricular thrombus. Medical management with anticoagulation failed and he underwent surgery for a pump exchange. Intraoperatively, a firm thrombus was found within the pump of the HeartMate II, and the color of the urine changed dramatically from cola-colored to yellow which enabled us to confirm the diagnosis.
一名50岁男性因缺血性心肌病接受了HeartMate II左心室辅助装置植入手术，术后3个月出现尿液变色和溶血。他的溶血被认为是由于泵内血栓形成所致。影像学检查未能发现左心室血栓。抗凝药物治疗失败后，他接受了泵更换手术。术中，在HeartMate II的泵内发现了一个坚实的血栓，尿液颜色从可乐色急剧变为黄色，这使我们得以确诊。
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