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急性心肌梗死合并左心室游动血栓

Acute Myocardial Infarction Associated With a Mobile Left Ventricular Thrombi.

机构信息

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

Division of Cardiology, Texas Tech Univetsity Health Sciences Center, Lubbock, Texas, USA.

出版信息

J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221078704. doi: 10.1177/23247096221078704.

DOI:10.1177/23247096221078704
PMID:35225697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8891841/
Abstract

The majority of acute coronary syndromes are caused by coronary artery thrombotic occlusions secondary to atherosclerotic plaque erosion or rupture. Coronary embolism is an important yet forgotten underlying cause of acute coronary syndrome. We present a case of a young patient who presented with ST elevation myocardial infarction suspected to be secondary to coronary embolization originating from a left ventricular thrombus.

摘要

大多数急性冠状动脉综合征是由动脉粥样硬化斑块侵蚀或破裂引起的冠状动脉血栓性闭塞引起的。冠状动脉栓塞是急性冠状动脉综合征一个重要但被遗忘的潜在原因。我们报告了一例年轻患者，其表现为 ST 段抬高型心肌梗死，疑似源于左心室血栓的冠状动脉栓塞引起。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/a0c59e190d16/10.1177_23247096221078704-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/e4f1d8c527ee/10.1177_23247096221078704-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/b61285ff7f1d/10.1177_23247096221078704-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/af5a45ccc430/10.1177_23247096221078704-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/336b887edc90/10.1177_23247096221078704-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/a0c59e190d16/10.1177_23247096221078704-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/e4f1d8c527ee/10.1177_23247096221078704-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/b61285ff7f1d/10.1177_23247096221078704-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/af5a45ccc430/10.1177_23247096221078704-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/336b887edc90/10.1177_23247096221078704-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e6/8891841/a0c59e190d16/10.1177_23247096221078704-fig5.jpg

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本文引用的文献

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Coronary Embolus: An Underappreciated Cause of Acute Coronary Syndromes.冠状动脉栓子：急性冠状动脉综合征的一个被低估的病因。
JACC Cardiovasc Interv. 2018 Jan 22;11(2):172-180. doi: 10.1016/j.jcin.2017.08.057.
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Coronary embolism causing myocardial infarction in a patient with mechanical aortic valve prosthesis.机械主动脉瓣置换术后患者发生冠状动脉栓塞致心肌梗死
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