Palatnic Leonard, Avino Tim, Spangenthal Edward J, Zlotnick David M
Department of Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Department of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Case Rep Cardiol. 2025 Apr 22;2025:9155374. doi: 10.1155/cric/9155374. eCollection 2025.
The AngioVac mechanical aspiration system has emerged in the literature as a viable treatment option for patients with intracardiac masses and thrombi and who are deemed high risk for cardiac surgery. Notably, it has been shown to be an effective treatment modality for the debulking of thrombi in the setting of malignancy. We present a case of repeat AngioVac debulking of a large right atrial thrombus with extension from the hepatic vein in the setting of advanced malignancy complicated by endocarditis.
血管内真空机械抽吸系统在文献中已成为心内肿块和血栓患者以及被认为心脏手术高风险患者的一种可行治疗选择。值得注意的是，它已被证明是在恶性肿瘤情况下清除血栓的有效治疗方式。我们报告一例在晚期恶性肿瘤合并心内膜炎的情况下，对从肝静脉延伸而来的巨大右心房血栓进行重复血管内真空清除术的病例。
