Family Medicine Residency Program, Texoma Medical Center, Denison, TX, USA.
Family Medicine Residency Program, Texoma Medical Center, Denison, TX, USA.
Cardiovasc Revasc Med. 2022 Jul;40S:329-331. doi: 10.1016/j.carrev.2022.03.010. Epub 2022 Mar 12.
The incidence of left ventricular thrombus is relatively low. Ventricular thrombi typically manifest in patients with reduced ejection fraction and post myocardial infarction [1]. The impact of COVID-19's hypercoagulability state is presented here. A 44 year old male who contracted COVID-19, progressed to moderate disease requiring inpatient treatment with supplemental oxygen. During the course of the hospital stay, while receiving National Institutes of Health guideline directed thromboembolism prophylaxis for COVID-19 infected patients [2], the patient developed a left ventricular thrombus which consequently embolized and occluded the left anterior descending and left circumflex coronary arteries requiring rheolytic thrombectomy.
左心室血栓的发生率相对较低。心室血栓通常出现在射血分数降低和心肌梗死后的患者中[1]。这里介绍了 COVID-19 高凝状态的影响。一名 44 岁的男性感染了 COVID-19，发展为中度疾病，需要补充氧气进行住院治疗。在住院期间，尽管按照美国国立卫生研究院 COVID-19 感染患者的指南进行了血栓栓塞预防[2]，但患者仍发生了左心室血栓形成，随后血栓脱落并阻塞了左前降支和左旋支冠状动脉，需要进行旋磨血栓切除术。
