一名患有巨大左心室血栓和抗磷脂综合征的年轻男性发生急性心肌梗死。
Acute myocardial infarction in a young man with large left ventricular thrombus and the antiphospholipid syndrome.
作者信息
Ayan Mohamed, Alshebani Yazeid, Tantoush Hamza, Salih Mohsin, Abusnina Waiel, Khaddr Mansour, Smer Aiman
机构信息
Department of Cardiovascular Medicine, University of Arkansas for Medical SciencesLittle RockArkansas.
Department of Cardiovascular Medicine, CHI Health, Creighton University School of MedicineOmahaNebraska.
出版信息
Proc (Bayl Univ Med Cent). 2018 Nov 13;32(1):110-112. doi: 10.1080/08998280.2018.1503479. eCollection 2019 Jan.
Abstract
Antiphospholipid syndrome is an autoimmune disorder that presents clinically with venous and/or arterial thrombosis and can affect any organ. Coronary artery involvement and left ventricular thrombus are rare presentations. We report the case of a 23-year-old male smoker with a strong family history of premature coronary artery disease who presented with acute anterolateral ST elevation myocardial infarction and large left ventricular thrombus. He was treated with primary percutaneous coronary intervention with thrombectomy without stenting. He was later diagnosed with antiphospholipid syndrome.
摘要
抗磷脂综合征是一种自身免疫性疾病，临床上表现为静脉和/或动脉血栓形成，可累及任何器官。冠状动脉受累和左心室血栓形成较为罕见。我们报告一例23岁男性吸烟者，有早发冠状动脉疾病的家族史，表现为急性前侧壁ST段抬高型心肌梗死和巨大左心室血栓。他接受了未植入支架的血栓切除术的直接经皮冠状动脉介入治疗。他后来被诊断为抗磷脂综合征。
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