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严重主动脉瓣狭窄伴严重左心室功能障碍患者的左心房血栓：经食管超声心动图的偶然发现。

Left atrial thrombus in a case of severe aortic stenosis with severe left ventricular dysfunction: An Incidental finding on transesophageal echocardiography.

机构信息

Department of Anesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India.

Department of Cardiovascular and Thoracic Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.

出版信息

Ann Card Anaesth. 2021 Jan-Mar;24(1):87-89. doi: 10.4103/aca.ACA_98_19.

DOI:10.4103/aca.ACA_98_19
PMID:33938840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081127/
Abstract

Left atrial thrombus in a patient with aortic stenosis and aortic regurgitation in sinus rhythm is an infrequent finding and is most commonly associated with cases of mitral stenosis. This case report emphasizes upon the importance of suspecting the presence of left atrial thrombus in other valvular lesions when additional risk factors such as dilated left ventricle are present. The undeniable role of comprehensive perioperative transesophageal echocardiography is also depicted in this case report.

摘要

在窦性心律的主动脉瓣狭窄和主动脉瓣反流患者中，左心房血栓是一种不常见的发现，最常与二尖瓣狭窄病例相关。本病例报告强调了在存在左心室扩张等其他瓣膜病变的附加危险因素时，怀疑左心房血栓存在的重要性。本病例报告还描述了全面围手术期经食管超声心动图的不可否认作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/e7a71bfbccc0/ACA-24-87-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/b0c34d6c79c4/ACA-24-87-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/b1daac7b6605/ACA-24-87-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/e7a71bfbccc0/ACA-24-87-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/b0c34d6c79c4/ACA-24-87-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/b1daac7b6605/ACA-24-87-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/518a/8081127/e7a71bfbccc0/ACA-24-87-g003.jpg

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引用本文的文献

1
In response to "Left atrial thrombus in a case of severe aortic stenosis with severe left ventricular dysfunction: An incidental finding on transesophageal echocardiography".回应《严重主动脉瓣狭窄伴严重左心室功能不全患者的左心房血栓：经食管超声心动图偶然发现》
Ann Card Anaesth. 2021 Jan-Mar;24(1):90-91. doi: 10.4103/aca.ACA_150_19.

本文引用的文献

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Relationship of left ventricular size to left atrial and left atrial appendage size in sinus rhythm patients with dilated cardiomyopathy.扩张型心肌病窦性心律患者左心室大小与左心房及左心耳大小的关系
Acta Inform Med. 2012 Jun;20(2):99-102. doi: 10.5455/aim.2012.20.99-102.
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Oral anticoagulation with warfarin for patients with left ventricular systolic dysfunction.华法林口服抗凝治疗左心室收缩功能障碍患者。
Cardiol Rev. 2011 Jan-Feb;19(1):36-40. doi: 10.1097/CRD.0b013e318200166d.
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Comparison of left ventricular geometry and left atrial size and function in patients with aortic stenosis versus those with pure aortic regurgitation.
主动脉瓣狭窄患者与单纯主动脉瓣反流患者的左心室几何形态、左心房大小及功能比较。
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Clinical and echocardiographic characteristics of left atrial spontaneous echo contrast in sinus rhythm.窦性心律下左心房自发显影的临床及超声心动图特征
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Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study.经食管超声心动图识别左心房血栓的准确性：一项前瞻性术中研究。
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Predictors of thromboembolism in atrial fibrillation: II. Echocardiographic features of patients at risk. The Stroke Prevention in Atrial Fibrillation Investigators.心房颤动血栓栓塞的预测因素：II. 高危患者的超声心动图特征。心房颤动预防中风研究人员。
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