一名接受静脉-动脉体外膜肺氧合支持的患者发生双心腔内血栓形成。
Double intracardiac thrombosis in a patient assisted by a venoarterial extracorporeal membrane oxygenation.
作者信息
Martínez Salgado A, Taboada Muñiz M, Martínez Cereijo J M, Otero Castro P, Álvarez Escudero J
机构信息
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
出版信息
Rev Esp Anestesiol Reanim (Engl Ed). 2019 Jun-Jul;66(6):335-337. doi: 10.1016/j.redar.2018.12.010. Epub 2019 Feb 1.
Intracardiac thrombosis is a rare complication in patients receiving haemodynamic support with venous-arterial extracorporeal membrane oxygenation (VA-ECMO), but it has a high risk of mortality. This case report describes a patient who suffered cardiogenic shock after a ST-segment elevation myocardial infarction (STEMI) and who presented with intracardiac thrombosis during VA-ECMO support on two occasions after mitral valve replacement. The first one was after the insertion of a mechanical prosthesis, and the second, after replacing it with a biological valve.
心内血栓形成是接受静脉-动脉体外膜肺氧合（VA-ECMO）血流动力学支持的患者中一种罕见的并发症，但具有较高的死亡风险。本病例报告描述了一名在ST段抬高型心肌梗死（STEMI）后发生心源性休克的患者，该患者在二尖瓣置换术后接受VA-ECMO支持期间两次出现心内血栓形成。第一次是在植入机械瓣膜假体后，第二次是在用生物瓣膜替换机械瓣膜假体后。
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