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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.

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/b0c34d6c79c4/ACA-24-87-g001.jpg

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