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一名左心室血栓患者体外循环血流停止导致的血栓迁移

Thrombus Migration Resulting From Cessation of Cardiopulmonary Bypass Flow in a Patient With Left Ventricular Thrombus.

作者信息

Kawabe Taisei, Miyazaki Yusuke, Tsubokawa Tsunehisa

机构信息

Department of Anesthesiology, The Jikei University School of Medicine, Tokyo, Japan.

出版信息

CASE (Phila). 2025 Jan 30;9(3):90-94. doi: 10.1016/j.case.2024.12.007. eCollection 2025 Mar.

DOI:10.1016/j.case.2024.12.007
PMID:40264695
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12011094/
Abstract

• LV thrombus can cause embolism, requiring anticoagulation or thrombectomy. • Lowering CPB flow during aortic clamping risks LV thrombus entering circulation. • Adjusting CPB flow to keep the aortic valve closed on TEE may prevent embolism. • Increasing venous drainage to eliminate cardiac output may prevent embolism.

摘要

• 左心室血栓可导致栓塞，需要进行抗凝治疗或血栓切除术。

• 在主动脉钳夹期间降低体外循环流量会使左心室血栓进入循环。

• 根据经食管超声心动图调整体外循环流量以使主动脉瓣保持关闭状态可能预防栓塞。

• 增加静脉引流以消除心输出量可能预防栓塞。

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Contemporary incidence and predictors of left ventricular thrombus in patients with anterior acute myocardial infarction.急性前壁心肌梗死患者左心室血栓的当代发病率及预测因素
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Incidence and predictors of early left ventricular thrombus after ST-elevation myocardial infarction in the contemporary era of primary percutaneous coronary intervention.ST 段抬高型心肌梗死患者行直接经皮冠状动脉介入治疗后早期左心室血栓形成的发生率及预测因素。
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Migration of left ventricular thrombus causing abdominal aortic embolism during cardiac surgery in a child with severe left ventricular dysfunction.一名患有严重左心室功能障碍的儿童在心脏手术期间，左心室血栓迁移导致腹主动脉栓塞。
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7
Clinical, imaging, and pathological characteristics of left ventricular thrombus: a comparison of contrast-enhanced magnetic resonance imaging, transthoracic echocardiography, and transesophageal echocardiography with surgical or pathological validation.左心室血栓的临床、影像学及病理特征：对比增强磁共振成像、经胸超声心动图和经食管超声心动图与手术或病理验证的比较
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Incidence of post myocardial infarction left ventricular thrombus formation in the era of primary percutaneous intervention and glycoprotein IIb/IIIa inhibitors. A prospective observational study.在直接经皮冠状动脉介入治疗和糖蛋白IIb/IIIa抑制剂时代，心肌梗死后左心室血栓形成的发生率。一项前瞻性观察研究。
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Visualization of ventricular thrombi with contrast-enhanced magnetic resonance imaging in patients with ischemic heart disease.缺血性心脏病患者中使用对比增强磁共振成像对心室血栓进行可视化观察。
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Detection and characterization of intracardiac thrombi on MR imaging.心脏内血栓在磁共振成像上的检测与特征分析
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