Vaidya Vaibhav R, Prueksaritanond Suartcha, Bois John P, Nadipalli Abhinav, Borgeson Daniel D, Melduni Rowlens M
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Echocardiography. 2017 Nov;34(11):1708-1711. doi: 10.1111/echo.13706. Epub 2017 Sep 24.
Among patients undergoing cardioversion for atrial fibrillation, the presence of left ventricular thrombus is a relatively uncommon and challenging clinical dilemma. While left atrial appendage thrombus is a contraindication to cardioversion, there is paucity of data regarding the safety of cardioversion in with the presence of left ventricular apical thrombus. Also, thrombus characteristics such as protrusion and mobility on echocardiography are known risk factors for systemic embolism. In this article, we present a case highlighting the management of atrial fibrillation in the setting of left ventricular dysfunction, acute heart failure, and echocardiographic evidence of acute left ventricular apical thrombus.
在接受房颤复律的患者中，左心室血栓的存在是一种相对少见且具有挑战性的临床困境。虽然左心耳血栓是复律的禁忌症，但关于存在左心室心尖部血栓时复律安全性的数据却很少。此外，超声心动图显示的血栓特征，如突出和活动度，是系统性栓塞的已知危险因素。在本文中，我们介绍了一个病例，突出了在左心室功能障碍、急性心力衰竭以及急性左心室心尖部血栓的超声心动图证据背景下房颤的管理。
