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一名40岁扩张型心肌病患者因灾难性巨大心内血栓继发急性中风和肢体缺血

Acute Stroke and Limb Ischemia Secondary to Catastrophic Massive Intracardiac Thrombus in a 40-Year-Old Patient With Dilated Cardiomyopathy.

作者信息

Jeon Gi Jung, Song Bong Gun, Park Yong Hwan, Kang Gu Hyun, Chun Woo Jung, Oh Ju Hyeon

机构信息

Division of Cardiology, Cardiac and Vascular Center, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.

出版信息

Cardiol Res. 2012 Feb;3(1):37-40. doi: 10.4021/cr142w. Epub 2012 Jan 20.

DOI:10.4021/cr142w
PMID:28357023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5358295/
Abstract

Dilated cardiomyopathy has been associated with left ventricular (LV) thrombosis which leads to substantial morbidity and mortality as a site for systemic emboli. We report an interesting case of a stroke and acute limb ischemia secondary to a large mobile pedunculated LV thrombus in 40-year-old patient with dilated cardiomyopathy.

摘要

扩张型心肌病与左心室（LV）血栓形成有关，左心室血栓作为全身栓子的来源可导致严重的发病率和死亡率。我们报告了一例有趣的病例，一名40岁扩张型心肌病患者因左心室巨大可移动带蒂血栓继发中风和急性肢体缺血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/8e7ca7ae83f8/cr-03-037-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/cf3fbd10a6e2/cr-03-037-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/c25d6064b677/cr-03-037-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/8e7ca7ae83f8/cr-03-037-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/cf3fbd10a6e2/cr-03-037-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/c25d6064b677/cr-03-037-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ca/5358295/8e7ca7ae83f8/cr-03-037-g003.jpg

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Pedunculated left ventricular thrombus presenting with acute ischaemic limb.
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Transatrial resection of a left ventricular thrombus after acute myocarditis.急性心肌炎后经心房切除左心室血栓
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上肢动脉同时发生中风和急性动脉缺血的多学科管理方法：病例报告
Radiol Case Rep. 2024 Dec 6;20(2):1215-1221. doi: 10.1016/j.radcr.2024.11.008. eCollection 2025 Feb.
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Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review.左心室带蒂血栓的风险与转归：一例病例报告及文献综述
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