Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan.
Division of Cardiology, Odawara Cardiovascular Hospital, Odawara, Japan.
Pacing Clin Electrophysiol. 2021 Jan;44(1):192-193. doi: 10.1111/pace.14033. Epub 2020 Aug 21.
A 78-year-old male with a history of a cardiac embolic stroke due to persistent AF and cerebral bleeding (CHADS2 score 4, HAS-BLED score 4) was referred to our hospital to implant a left atrial appendage (LAA) closure (LAAC) device. A trans esophageal echocardiography was performed and a high echoic lesion that was difficult to differentiate the spontaneous echo contrast or thrombus was found in the LAA cavity. After isoproterenol infusion, a high echoic lesion disappeared and we confirmed that it was not an LAA thrombus. Successful LAAC device implantation was performed without any thromboembolic events.
一位 78 岁男性，因持续性房颤和脑出血（CHADS2 评分为 4，HAS-BLED 评分为 4）导致心脏栓塞性中风，被转介到我院植入左心耳（LAA）封堵（LAAC）装置。进行了经食管超声心动图检查，发现 LAA 腔内有一个高回声病变，难以区分自发性回声对比或血栓。异丙肾上腺素输注后，高回声病变消失，我们确认它不是 LAA 血栓。成功植入 LAAC 装置，没有发生任何血栓栓塞事件。
