• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

急性心肌梗死患者的升主动脉大血栓：病例报告。

A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction-Case Report.

机构信息

Faculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania.

出版信息

Medicina (Kaunas). 2021 Oct 28;57(11):1176. doi: 10.3390/medicina57111176.

DOI:10.3390/medicina57111176
PMID:34833394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8617843/
Abstract

We present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions, such as atherosclerosis, aortic aneurysm, or aortic wall injury (surgical or traumatic). There is no specific pathway regarding the management of ascending aorta thrombus in such a patient; therapeutic options include surgical, interventional, or medical methods. Surgical thrombectomy was performed in this case, considering the high risk of systemic embolism and stroke and the hemodynamic stability of the patient.

摘要

我们报告了一例 50 岁男性病例，除吸烟外无其他心血管危险因素，表现为急性胸痛，被诊断为急性心肌梗死，升主动脉内有大血栓。在没有其他疾病（如动脉粥样硬化、主动脉瘤或主动脉壁损伤（手术或创伤））的患者中，这种发现很少见。对于这样的患者，升主动脉血栓的管理没有特定的途径；治疗选择包括手术、介入或药物方法。考虑到全身性栓塞和中风的高风险以及患者的血流动力学稳定性，在这种情况下进行了手术血栓切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/c55c5e0ef836/medicina-57-01176-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/defd8f669133/medicina-57-01176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/dd00fa0cdc4c/medicina-57-01176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/228b1fd19c75/medicina-57-01176-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/4682b63a96a2/medicina-57-01176-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/0234fcdc4876/medicina-57-01176-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/0bd8bac3257f/medicina-57-01176-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/4428d836bf78/medicina-57-01176-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/c55c5e0ef836/medicina-57-01176-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/defd8f669133/medicina-57-01176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/dd00fa0cdc4c/medicina-57-01176-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/228b1fd19c75/medicina-57-01176-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/4682b63a96a2/medicina-57-01176-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/0234fcdc4876/medicina-57-01176-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/0bd8bac3257f/medicina-57-01176-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/4428d836bf78/medicina-57-01176-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/8617843/c55c5e0ef836/medicina-57-01176-g008.jpg

相似文献

1
A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction-Case Report.急性心肌梗死患者的升主动脉大血栓：病例报告。
Medicina (Kaunas). 2021 Oct 28;57(11):1176. doi: 10.3390/medicina57111176.
2
Repeated acute coronary syndrome caused by a mind-bending mural thrombus in ascending aorta: a case report and review of the literature.因升主动脉内扭转的血栓导致反复发作的急性冠脉综合征：病例报告及文献复习。
BMC Cardiovasc Disord. 2024 May 29;24(1):281. doi: 10.1186/s12872-024-03956-2.
3
A giant floating thrombus in the ascending aorta: a case report.升主动脉内巨大漂浮血栓：1 例报告。
BMC Surg. 2020 Dec 9;20(1):321. doi: 10.1186/s12893-020-00983-6.
4
Floating thrombus in the ascending aorta revealed by peripheral arterial embolism.外周动脉栓塞提示升主动脉内存在漂浮血栓。
Interact Cardiovasc Thorac Surg. 2020 May 1;30(5):762-764. doi: 10.1093/icvts/ivaa017.
5
Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta.脑梗死合并升主动脉活动血栓后发生急性肺栓塞。
Gen Thorac Cardiovasc Surg. 2009 Dec;57(12):654-6. doi: 10.1007/s11748-009-0444-y.
6
Surgical treatment for thoracoabdominal intra-aortic thrombus with multiple infarctions: a case report.胸腹主动脉内血栓合并多处梗死的外科治疗：一例报告
J Med Case Rep. 2016 Aug 10;10(1):220. doi: 10.1186/s13256-016-1017-1.
7
Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report.升主动脉非瘤性非粥样硬化性大血栓栓子：病例报告。
J Cardiothorac Surg. 2021 Jul 23;16(1):200. doi: 10.1186/s13019-021-01585-w.
8
Complicated course consequences of a floating thrombus in ascending aorta.升主动脉漂浮血栓的复杂病程后果。
Eur J Echocardiogr. 2008 Nov;9(6):846-8. doi: 10.1093/ejechocard/jen193. Epub 2008 Jun 16.
9
Surgical management of a free-floating thrombus in the ascending aorta.升主动脉游离血栓的外科治疗
Asian Cardiovasc Thorac Ann. 2019 Mar;27(3):221-223. doi: 10.1177/0218492318804956. Epub 2018 Sep 24.
10
Successful Thrombectomy for an Idiopathic Floating Ascending Aortic Thrombus.特发性漂浮性升主动脉血栓的成功取栓术
Ann Thorac Surg. 2016 Sep;102(3):e245-e247. doi: 10.1016/j.athoracsur.2016.01.075.

引用本文的文献

1
Optimal Management of Spontaneous Aortic Thrombus Floating in the Ascending Aorta, from a Single Case Experience to a Literature Review.升主动脉漂浮性自发性主动脉血栓的优化管理：从单病例经验到文献综述
J Cardiovasc Dev Dis. 2025 Apr 9;12(4):146. doi: 10.3390/jcdd12040146.
2
Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report.主动脉瘤酷似下壁 ST 段抬高型心肌梗死：病例报告。
J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241264634. doi: 10.1177/23247096241264634.
3
Repeated acute coronary syndrome caused by a mind-bending mural thrombus in ascending aorta: a case report and review of the literature.

本文引用的文献

1
A giant floating thrombus in the ascending aorta: a case report.升主动脉内巨大漂浮血栓：1 例报告。
BMC Surg. 2020 Dec 9;20(1):321. doi: 10.1186/s12893-020-00983-6.
2
Ascending Aorta Thrombose: A Rare Cause of Simultaneous Acute Myocardial Infarction and Upper Limb Ischemia.升主动脉血栓形成：同时发生急性心肌梗死和上肢缺血的罕见原因。
Acta Cardiol Sin. 2020 Jul;36(4):382-385. doi: 10.6515/ACS.202007_36(4).20200420A.
3
Floating thrombus in the ascending aorta revealed by peripheral arterial embolism.外周动脉栓塞提示升主动脉内存在漂浮血栓。
因升主动脉内扭转的血栓导致反复发作的急性冠脉综合征：病例报告及文献复习。
BMC Cardiovasc Disord. 2024 May 29;24(1):281. doi: 10.1186/s12872-024-03956-2.
4
Association between Bilateral Selective Antegrade Cerebral Perfusion and Postoperative Ischemic Stroke in Patients with Emergency Surgery for Acute Type A Aortic Dissection-Single Centre Experience.双侧选择性顺行脑灌注与急诊手术治疗急性 A 型主动脉夹层患者术后缺血性卒中的相关性-单中心经验。
Medicina (Kaunas). 2023 Jul 26;59(8):1365. doi: 10.3390/medicina59081365.
5
Same Clinical Reality of Spontaneous Rupture of the Common Iliac Artery with Pseudoaneurysm Formation-Comparison of Two Therapeutical Solutions, Endovascular Stent-Graft and Open Surgical Correction, for Two Cases and Review of the Literature.髂总动脉自发性破裂伴假性动脉瘤形成的相同临床现实——两例病例两种治疗方案（血管内支架移植物和开放手术矫正）的比较及文献综述
J Clin Med. 2023 Jan 16;12(2):713. doi: 10.3390/jcm12020713.
Interact Cardiovasc Thorac Surg. 2020 May 1;30(5):762-764. doi: 10.1093/icvts/ivaa017.
4
Huge thrombus in the ascending aorta: a case report and literature review.升主动脉巨大血栓：一例报告及文献综述
J Cardiothorac Surg. 2019 Sep 4;14(1):157. doi: 10.1186/s13019-019-0975-y.
5
Large ascending aortic thrombus successfully treated with anticoagulation.大型升主动脉血栓经抗凝治疗成功治愈。
J Cardiovasc Thorac Res. 2018;10(2):113-114. doi: 10.15171/jcvtr.2018.18. Epub 2018 May 21.
6
The missed diagnosis of aortic dissection in patients with acute myocardial infarction: a disastrous event.急性心肌梗死患者主动脉夹层的漏诊：一场灾难性事件。
J Thorac Dis. 2017 Jul;9(7):E636-E639. doi: 10.21037/jtd.2017.06.103.
7
Type A Aortic Dissection Presenting with Inferior ST-Elevation Myocardial Infarction.表现为下壁ST段抬高型心肌梗死的A型主动脉夹层。
Acta Cardiol Sin. 2014 May;30(3):248-52.
8
Aortic Dissection Manifesting as ST-Segment-Elevation Myocardial Infarction.表现为ST段抬高型心肌梗死的主动脉夹层
Circulation. 2015 May 26;131(21):e503-4. doi: 10.1161/CIRCULATIONAHA.114.015200.
9
The cardiovascular pathology of phospholipid antibodies: An illustrative case and review of the literature.
Cardiovasc Pathol. 1995 Apr-Jun;4(2):111-22. doi: 10.1016/1054-8807(94)00044-r.
10
2014 ESC/EACTS Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI).2014年欧洲心脏病学会/欧洲心胸外科学会心肌血运重建指南：欧洲心脏病学会（ESC）和欧洲心胸外科学会（EACTS）心肌血运重建特别工作组编写，欧洲经皮心血管介入协会（EAPCI）提供特别贡献。
Eur Heart J. 2014 Oct 1;35(37):2541-619. doi: 10.1093/eurheartj/ehu278. Epub 2014 Aug 29.