Central Arkansas Veterans Affairs Health System, Little Rock, Arkansas, US.
Novant Health Forsyth Medical Center, Winston-Salem, North Carolina, US.
Methodist Debakey Cardiovasc J. 2024 Aug 12;20(1):65-69. doi: 10.14797/mdcvj.1428. eCollection 2024.
A 76-year-old female with a complicated medical history presented for Watchman (Boston Scientific) placement 2 months after mitral valve transcatheter edge-to-edge repair (TEER). Preoperative workup before Watchman placement confirmed the presence of a thrombus in the left superior pulmonary vein. Post-procedure mitral valve TEER transesophageal echocardiogram showed no thrombus in the left atrium appendage or pulmonary veins. We believe the thrombus in the left superior pulmonary vein occurred secondarily due to epithelium damage during the mitral valve TEER.
一位 76 岁女性,病史复杂,在二尖瓣经导管缘对缘修复(TEER)后 2 个月就诊行 Watchman(波士顿科学公司)植入术。Watchman 植入术前的术前检查证实左肺上静脉内有血栓。经皮二尖瓣 TEER 术后经食管超声心动图显示左心耳或肺静脉内无血栓。我们认为左肺上静脉内的血栓是由于二尖瓣 TEER 过程中上皮损伤继发形成的。