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光学相干断层扫描成像显示心肌梗死患者卵圆孔未闭通道内的血栓。

Thrombus inside the channel of patent foramen ovale revealed by optical coherence tomography imaging in a patient with myocardial infarction.

作者信息

Wang Xing-Ye, He Lu, Xie Xue-Gang, Liu Xiao-Qin, Zhang Yu-Shun

机构信息

Department of Structural Heart Disease, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277 Yanta West Road, Xi'an 710068, China.

出版信息

Eur Heart J Case Rep. 2024 Jul 8;8(7):ytae304. doi: 10.1093/ehjcr/ytae304. eCollection 2024 Jul.

DOI:10.1093/ehjcr/ytae304
PMID:39081402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11287203/
Abstract

BACKGROUND

Myocardial infarction (MI) caused by patent foramen ovale (PFO)-based paradoxical embolism is rare, and there are few case reports in the literature.

CASE SUMMARY

Here, we report a case of MI in which optical coherence tomography revealed thrombi in the PFO channel.

DISCUSSION

In addition to paradoxical embolism, thrombus may also be one of the pathogenic mechanisms of PFO in patients with MI.

摘要

背景

由卵圆孔未闭（PFO）导致的反常栓塞引起的心肌梗死（MI）较为罕见，文献中仅有少数病例报告。

病例摘要

在此，我们报告一例心肌梗死病例，光学相干断层扫描显示卵圆孔未闭通道内有血栓形成。

讨论

除反常栓塞外，血栓也可能是心肌梗死患者卵圆孔未闭的致病机制之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/279aa7d6b6e7/ytae304f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/0b21d8aca582/ytae304il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/880e50b2875c/ytae304f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/beb4d58b93e3/ytae304f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/279aa7d6b6e7/ytae304f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/0b21d8aca582/ytae304il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/880e50b2875c/ytae304f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/beb4d58b93e3/ytae304f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/11287203/279aa7d6b6e7/ytae304f3.jpg

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本文引用的文献

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Eur Heart J. 2024 Feb 1;45(5):403. doi: 10.1093/eurheartj/ehad753.
2
Application of biomedical materials in the diagnosis and treatment of myocardial infarction.生物医用材料在心肌梗死诊断和治疗中的应用。
J Nanobiotechnology. 2023 Aug 26;21(1):298. doi: 10.1186/s12951-023-02063-2.
3
Pathophysiology of Acute Coronary Syndromes-Diagnostic and Treatment Considerations.
急性冠状动脉综合征的病理生理学——诊断与治疗考量
Life (Basel). 2023 Jul 12;13(7):1543. doi: 10.3390/life13071543.
4
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Stroke. 2023 May;54(5):1205-1213. doi: 10.1161/STROKEAHA.122.041524. Epub 2023 Mar 9.
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Transcatheter Closure of Patent Foramen Ovale in Patients With Peripheral (Noncerebrovascular) Embolism.经导管封堵卵圆孔未闭治疗外周（非脑血管）栓塞患者
J Invasive Cardiol. 2022 Oct;34(10):E720-E725. doi: 10.25270/jic/22.00079. Epub 2022 Sep 23.
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Preliminary Investigation of In situ Thrombus Within Patent Foramen Ovale in Patients With and Without Stroke.卵圆孔未闭伴或不伴脑卒中患者原位血栓的初步研究。
JAMA. 2021 May 25;325(20):2116-2118. doi: 10.1001/jama.2021.4359.
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Acute Myocardial Infarction Secondary to Paradoxical Embolism.矛盾栓塞继发急性心肌梗死
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