Veenis Jesse F, Brugts Jasper J, Yalcin Yunus C, Roest Stefan, Bekkers Jos A, Manintveld Olivier C, Constantinescu Alina A, Bogers Ad J J C, Zijlstra Felix, Caliskan Kadir
Thorax Center, Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 40, Rotterdam, 3015GD, The Netherlands.
Thorax Center, Department of Cardio-Thoracic Surgery, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 40, Rotterdam, 3015GD, The Netherlands.
ESC Heart Fail. 2020 Oct;7(5):3208-3212. doi: 10.1002/ehf2.12921. Epub 2020 Jul 30.
Data on the risk of aortic root thrombosis in patients with aortic valve replacement (AVR) and left ventricular assist device (LVAD) surgery are scarce. Two out of nine patients receiving AVR concomitant with LVAD surgery and two out of two patients receiving AVR on LVAD support, at our centre, developed an aortic root thrombus, all diagnosed with computed tomography (CT) angiography. These results demonstrate that patients with concomitant AVR and LVAD surgery, or AVR on LVAD support, have an increased risk of aortic root thrombosis. Therefore, early anti-thrombotic therapy and vigilant diagnostic follow-up, using CT scans, are warranted to prevent thromboembolic events.
关于接受主动脉瓣置换术（AVR）和左心室辅助装置（LVAD）手术患者发生主动脉根部血栓形成风险的数据很少。在我们中心，9例接受AVR并同期进行LVAD手术的患者中有2例，以及2例在LVAD支持下接受AVR的患者中有2例发生了主动脉根部血栓，均通过计算机断层扫描（CT）血管造影确诊。这些结果表明，同期进行AVR和LVAD手术或在LVAD支持下接受AVR的患者发生主动脉根部血栓形成的风险增加。因此，有必要进行早期抗血栓治疗并通过CT扫描进行密切的诊断随访，以预防血栓栓塞事件。
