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机械主动脉瓣置换术后冠状动脉栓塞所致心肌梗死：一例报告

Myocardial infarction due to coronary embolism after mechanical aortic valve replacement: a case report.

作者信息

Kus Mukan Kagan, Karaagac Anil, Bozkurt Burak, Ceylan Ufuk Sadik, Kaplan Mehmet

机构信息

Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Department of Cardiology, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

出版信息

J Cardiothorac Surg. 2024 Mar 11;19(1):114. doi: 10.1186/s13019-024-02556-7.

DOI:10.1186/s13019-024-02556-7
PMID:38468271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10929221/
Abstract

Prosthetic valve thrombosis (PVT) in aortic valve and its complication coronary embolism is a very rare condition. Diagnosis and treatment process is challenging. We present a young patient with acute myocardial infarction who underwent mechanical aortic valve replacement (AVR) operation one month earlier. Percutaneous coronary intervention was performed and it was succesful. Transeasophageal ecocardiography (TEE) was performed. Thrombus was seen on the mechanical aortic valve and thrombolytic therapy was initiated. Control TEE was performed and there was no signs of thrombi. The patient was discharged healthfully with anticoagulant and antiaggregan.

摘要

人工主动脉瓣血栓形成（PVT）及其并发症冠状动脉栓塞是一种非常罕见的病症。诊断和治疗过程具有挑战性。我们介绍一位年轻患者，该患者一个月前接受了机械主动脉瓣置换（AVR）手术，现发生急性心肌梗死。进行了经皮冠状动脉介入治疗且取得成功。实施了经食管超声心动图（TEE）检查。在机械主动脉瓣上发现血栓，并启动了溶栓治疗。进行了TEE复查，未发现血栓迹象。患者在使用抗凝剂和抗血小板药物的情况下健康出院。

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Coronary embolism due to probable clinical bioprosthetic aortic valve thrombosis: a case report.可能由临床生物瓣主动脉瓣血栓形成引起的冠状动脉栓塞：一例报告。
BMC Cardiovasc Disord. 2023 Jun 26;23(1):324. doi: 10.1186/s12872-023-03359-9.
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