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心源性休克和短暂性脑缺血发作患者左心室血栓的介入清除术

Interventional Removal of LV Thrombus in a Patient With Cardiogenic Shock and Transitory Ischemic Attack.

作者信息

Gawaz Meinrad Paul, Schreieck Jürgen, Lydia Mueller Karin Anne, Geisler Tobias

机构信息

Department of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.

出版信息

JACC Case Rep. 2023 Apr 17;15:101860. doi: 10.1016/j.jaccas.2023.101860. eCollection 2023 Jun 7.

Abstract

We discuss a 38-year-old bodybuilder who had cardiogenic shock and multiorgan failure. The patient developed significant speech disorders resulting from thromboembolism of a huge, volatile left ventricular thrombus. Because of inoperability and the threat of severe ischemic stroke, the thrombus was removed with a snare and application of a cerebral embolic protection device. ().

摘要

我们讨论一名38岁的健美运动员,他出现了心源性休克和多器官功能衰竭。该患者因巨大的、易脱落的左心室血栓形成血栓栓塞,导致严重的言语障碍。由于无法进行手术以及存在严重缺血性中风的风险,遂使用圈套器并应用脑栓塞保护装置取出了血栓。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/10240274/391b5fd0d3de/fx1.jpg

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