静脉-动脉体外膜肺氧合期间急性生物瓣二尖瓣血栓形成
Acute Bioprosthetic Mitral Valve Thrombosis During Venoarterial Extracorporeal Membrane.
作者信息
Monzonís Amparo Martínez, Munin María Rial, Del Río Sonia Veiras, Iglesias Héctor Lázare, Fernández Angel L
机构信息
Service of Cardiology. University Hospital, Santiago de Compostela, Spain.
Service of Anesthesiology. University Hospital, Santiago de Compstela, Spain.
出版信息
Rev Port Cir Cardiotorac Vasc. 2019 Oct-Dec;26(4):263-265.
Bioprosthetic valve thrombosis is a rare complication. Left atrial dilatation, atrial fibrillation, hypercoagulability and low cardiac output are known risk factors. We report the case of a patient undergoing a bioprosthetic mitral valve replacement who required postoperative circulatory support with extracorporeal membrane oxygenation and presented acute bioprosthetic valve thrombosis. Some aspects regarding pathogenesis, diagnosis and treatment are discussed.
生物人工瓣膜血栓形成是一种罕见的并发症。左心房扩张、心房颤动、高凝状态和低心输出量是已知的危险因素。我们报告了一例接受生物人工二尖瓣置换术的患者，术后需要体外膜肺氧合进行循环支持，并出现了急性生物人工瓣膜血栓形成。本文讨论了其发病机制、诊断和治疗的一些方面。
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