二尖瓣修复术后复发性环形血栓形成和栓塞

Agrawal Saloni, Adams David H, Goldman Martin E, Cromwell Caroline I, Pandis Dimosthenis, Halperin Jonathan L

Icahn School of Medicine at Mount Sinai, New York, New York, USA.

JACC Case Rep. 2024 Oct 2;29(19):102582. doi: 10.1016/j.jaccas.2024.102582.

A patient without evident systemic thrombophilia developed recurrent ischemic stroke following surgical mitral valve repair. Thromboembolism proved resistant to anticoagulation; however, following explantation of the prosthesis, she became asymptomatic with normal valve function. We postulate that an unusual reaction to prosthetic material was the source of thromboembolism.

一名无明显全身性血栓形成倾向的患者在二尖瓣修复手术后发生复发性缺血性中风。血栓栓塞对抗凝治疗有抵抗性；然而，在假体植入物取出后，她无症状且瓣膜功能正常。我们推测对假体材料的异常反应是血栓栓塞的来源。