人工二尖瓣血栓形成与出血性中风的灾难性关联。
The catastrophic association of prosthetic mitral valve thrombosis and hemorrhagic stroke.
作者信息
Morais Humberto, Gonçalves Mauer A A
机构信息
Centro de Estudos Avançados em Educação e Formação Médica, Faculdade de Medicina da Universidade Agostinho Neto, Luanda, Angola.
Departamento de Cardiologia. Hospital Militar Principal/Instituto Superior, Luanda, Angola.
出版信息
Glob Cardiol Sci Pract. 2023 Sep 30;2023(4):e202331. doi: 10.21542/gcsp.2023.31.
Prosthetic valve thrombosis is a serious complication of valve replacement associated with a high mortality rate. Stroke may be the first symptom of prosthetic valve thrombosis. We present the case of a patient who visited the emergency department with symptoms of dysarthria and left hemiparesis. An examination revealed an ischemic stroke with hemorrhagic transformation, stemming from a thrombosis of their mitral valve prosthesis, which progressed to the patient's death. We emphasize the difficulty in the therapeutic and diagnostic management of these patients.
人工瓣膜血栓形成是瓣膜置换术的一种严重并发症，死亡率很高。中风可能是人工瓣膜血栓形成的首发症状。我们报告一例患者，该患者因构音障碍和左侧偏瘫症状前往急诊科就诊。检查发现为缺血性中风伴出血性转化，起因于其二尖瓣人工瓣膜血栓形成，最终患者死亡。我们强调这些患者在治疗和诊断管理方面存在困难。
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