Abe Noriyuki, Yasumori Ken, Shimabukuro Noriko, Yamazato Takahiro, Munakata Hiroshi
Department of Cardiovascular Surgery, Okinawa Nanbu Prefectural Medical Center and Children's Medical Center, Naha, Okinawa, Japan.
Ann Vasc Dis. 2021 Mar 25;14(1):64-67. doi: 10.3400/avd.cr.20-00155.
In the first case, a 60-year-old man was referred to our hospital for a sudden stomachache. A computed tomography scan revealed a thrombus at ascending aorta with acute mesenteric ischemia. In the second case, a 62-year old man developed a hypoglycemic attack with unbalanced diet. A computed tomography showed a thrombus at ascending aorta without thromboembolism. Laboratory data of both cases showed elevated platelet and a loss of antithrombin III. We administered a resection of thrombus to prevent a systemic embolism. We suggested that the risk of ascending aorta thrombus was elevated platelet and a loss of antithrombin III.
第一例中，一名60岁男性因突发胃痛被转诊至我院。计算机断层扫描显示升主动脉有血栓，伴有急性肠系膜缺血。第二例中，一名62岁男性因饮食不均衡发生低血糖发作。计算机断层扫描显示升主动脉有血栓，但无血栓栓塞。两例患者的实验室检查数据均显示血小板升高和抗凝血酶III缺失。我们进行了血栓切除术以预防全身性栓塞。我们认为升主动脉血栓形成的风险是血小板升高和抗凝血酶III缺失。
