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左心室血栓:原发性抗磷脂抗体综合征的一种有趣表现及文献综述

Left Ventricular Thrombus: An Interesting Presentation of Primary Antiphospholipid Antibody Syndrome with a Mini-review of the Literature.

作者信息

Kiran G Ravi, Shashivardhan J, Chandrasekhar P

机构信息

Department of Cardiology, Government General Hospital, Kurnool, Andhra Pradesh, India.

出版信息

J Cardiovasc Echogr. 2020 Oct-Dec;30(4):217-222. doi: 10.4103/jcecho.jcecho_52_20. Epub 2021 Jan 20.

Abstract

Antiphospholipid syndrome (APLS) is characterized by recurrent thrombosis. We report the case of a 36-year-old male who had acute right-sided ischemic stroke and right leg ischemia secondary to left ventricular (LV) thrombus caused by primary APLS. The literature review suggested that the LV thrombus presented most commonly with systemic embolism and was associated with a mortality rate of 22.2% with treatment. Thrombophilic workup in young patients with a systemic thromboembolic episode (s) is advised.

摘要

抗磷脂综合征(APLS)的特征是反复发生血栓形成。我们报告了一例36岁男性患者,其因原发性抗磷脂综合征导致左心室(LV)血栓形成,继发急性右侧缺血性中风和右腿缺血。文献综述表明,左心室血栓最常表现为全身栓塞,治疗后的死亡率为22.2%。建议对有全身性血栓栓塞事件的年轻患者进行血栓形成倾向检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/063e/8021087/34b12daa643e/JCE-30-217-g001.jpg

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