D'Angelo Lorenzo A, Arora Yingyot, Diaz Miguel A, Carrillo Roger G, Guta Cosmin, Patton Marquand
Heart Institute at Palmetto General Hospital, Hialeah, FL, USA.
University of Miami, Miller School of Medicine, Miami, FL, USA.
J Cardiol Cases. 2023 Jun 16;28(2):83-85. doi: 10.1016/j.jccase.2023.04.005. eCollection 2023 Aug.
Large atrial thrombi can be managed percutaneously. We present a case of a 76-year-old female patient who presented to our emergency room with an acute stroke and was managed with mechanical thrombectomy. Further work-up revealed a large complex thrombus in-transit trapped in a patent foramen ovale with a large mobile portion in the left atrium. Due to contraindications for thrombolysis and poor surgical candidacy, an endovascular approach was favored. The procedure was performed successfully, and the patient recovered uneventfully.
Endovascular approach with mechanical thrombectomy can be a treatment option for patients that present with large thrombus in-transit when other therapies are contraindicated.
大型心房血栓可通过经皮方式处理。我们报告一例76岁女性患者，她因急性中风就诊于我们的急诊室，并接受了机械取栓治疗。进一步检查发现，一个大型复杂的移动性血栓被困在未闭卵圆孔中，其大部分位于左心房。由于存在溶栓禁忌证且手术条件不佳，故倾向于采用血管内治疗方法。手术成功实施，患者恢复顺利。
对于存在大型移动性血栓且其他治疗方法禁忌的患者，采用机械取栓的血管内治疗方法可能是一种治疗选择。
