一名原发性抗磷脂综合征患者在胸腔镜辅助下切除左心室血栓。
A Left Ventricular Thrombus in a Patient With Primary Antiphospholipid Syndrome Removed Under Thoracoscopic Support.
作者信息
Suzuki Kota, Totsugawa Toshinori, Hiraoka Arudo, Tamura Kentaro, Chikazawa Genta, Ishida Atsuhisa, Sakaguchi Taichi, Yoshitaka Hidenori
机构信息
Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
出版信息
Ann Thorac Surg. 2016 Aug;102(2):e109-11. doi: 10.1016/j.athoracsur.2015.12.053.
The antiphospholipid syndrome is an autoimmune disorder characterized by vascular thrombosis. Left ventricular thrombus with antiphospholipid syndrome is rare, and there are few reports regarding surgical resection of such cases. We report the case of a 45-year-old woman who had been diagnosed as having primary antiphospholipid syndrome and was admitted to our hospital for treatment of left ventricular thrombus detected by an echocardiography. The thrombus was completely removed using video-assisted thoracoscopy through a right minithoracotomy. Left ventricular thrombectomy through a right minithoracotomy in a patient with antiphospholipid syndrome has not been previously reported. This approach is less invasive and more effective in such coagulation system disorders.
抗磷脂综合征是一种以血管血栓形成为特征的自身免疫性疾病。抗磷脂综合征合并左心室血栓较为罕见，关于此类病例手术切除的报道较少。我们报告一例45岁女性患者，该患者被诊断为原发性抗磷脂综合征，因超声心动图检查发现左心室血栓而入院治疗。通过右胸小切口，采用电视辅助胸腔镜手术将血栓完全清除。此前尚未有关于抗磷脂综合征患者经右胸小切口行左心室血栓切除术的报道。在这种凝血系统疾病中，该方法具有创伤小、效果好的特点。
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