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直接口服抗凝治疗作为手术的替代方案，用于治疗一名升主动脉有漂浮血栓和肺栓塞的患者。

Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism.

作者信息

Toyama Masashi, Nakayama Masato, Hasegawa Masahiko, Yuasa Takeshi, Sato Bunmei, Ohno Osamu

机构信息

Department of Cardiovascular Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.

Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2018 Apr 30;4(2):170-172. doi: 10.1016/j.jvscit.2018.03.002. eCollection 2018 Jun.

DOI:10.1016/j.jvscit.2018.03.002
PMID:29942913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6012988/
Abstract

A floating thrombus in the ascending aorta was incidentally discovered in a patient with a descending thoracic aortic aneurysm and a history of alcoholism. The patient developed deep venous thrombosis and pulmonary embolism. However, he refused to undergo surgical excision of the thrombus in the ascending aorta. Therefore, treatment with rivaroxaban was administered for 3 months, and it completely dissolved the thrombus. Anticoagulant therapy may be an alternative treatment when surgery cannot be performed.

摘要

在一名患有降主动脉瘤且有酗酒史的患者中，偶然发现升主动脉内有一个漂浮血栓。该患者发生了深静脉血栓形成和肺栓塞。然而，他拒绝接受升主动脉血栓的手术切除。因此，给予利伐沙班治疗3个月，血栓完全溶解。当无法进行手术时，抗凝治疗可能是一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f8/6012988/0ba15cb47205/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f8/6012988/d4cdf6814f67/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f8/6012988/0ba15cb47205/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f8/6012988/d4cdf6814f67/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f8/6012988/0ba15cb47205/gr2.jpg

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BMJ Case Rep. 2017 Aug 1;2017:bcr-2017-220592. doi: 10.1136/bcr-2017-220592.
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Pathologic Features of Lone Aortic Mobile Thrombus in the Ascending Aorta.升主动脉孤立性活动性主动脉血栓的病理特征
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