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成功治疗与心肌炎相关的巨大双心室血栓：一例报告

Successful treatment of massive biventricular thrombi associated with myocarditis: a case report.

作者信息

Liang Chunshui, Liu Hong, Cao Zhezhe, Li Tianbo, Wang Yong, Xiao Yingbin, Ma Ruiyan

机构信息

Department of Cardiovascular Surgery, Xinqiao Hospital, The Army Medical University, Chongqing, China.

出版信息

Front Cardiovasc Med. 2025 Apr 28;12:1530548. doi: 10.3389/fcvm.2025.1530548. eCollection 2025.

DOI:10.3389/fcvm.2025.1530548
PMID:40357439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12066743/
Abstract

BACKGROUND

Massive biventricular thrombi associated with myocarditis are rare and pose significant management challenges.

CASE PRESENTATION

A 24-year-old male from a plateau region presented with dyspnea, chest pain, and cerebral infarction/hemorrhage. Imaging revealed giant biventricular thrombi (left: 81 × 62 × 59 mm; right: 59 × 16 mm) and LVEF of 25%.

MANAGEMENT

Multidisciplinary therapy included anticoagulation and GDMT.

OUTCOMES

Complete thrombus resolution occurred by 10 weeks, with improved cardiac function (LVEF 48%) and no recurrent embolism.

CONCLUSION

Drug therapy may be effective for massive biventricular thrombi in myocarditis.

摘要

背景

与心肌炎相关的巨大双心室血栓罕见，给治疗带来重大挑战。

病例介绍

一名来自高原地区的24岁男性出现呼吸困难、胸痛及脑梗死/出血。影像学检查发现巨大双心室血栓（左：81×62×59mm；右：59×16mm），左心室射血分数为25%。

治疗

多学科治疗包括抗凝治疗和指南指导的药物治疗（GDMT）。

结果

10周时血栓完全溶解，心功能改善（左心室射血分数48%），无复发性栓塞。

结论

药物治疗可能对心肌炎所致巨大双心室血栓有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7154/12066743/73d7bacbbe9e/fcvm-12-1530548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7154/12066743/965bff6e8e58/fcvm-12-1530548-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7154/12066743/73d7bacbbe9e/fcvm-12-1530548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7154/12066743/965bff6e8e58/fcvm-12-1530548-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7154/12066743/73d7bacbbe9e/fcvm-12-1530548-g002.jpg

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2
Massive biventricular thrombosis after transfemoral transcatheter aortic valve implantation.经股动脉导管主动脉瓣植入术后发生大面积双心室血栓形成。
Eur Heart J. 2022 Apr 19;43(16):1599. doi: 10.1093/eurheartj/ehac023.
3
Management of Patients at Risk for and With Left Ventricular Thrombus: A Scientific Statement From the American Heart Association.
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Circulation. 2022 Oct 11;146(15):e205-e223. doi: 10.1161/CIR.0000000000001092. Epub 2022 Sep 15.
4
Massive left ventricular thrombosis in pericardial decompression syndrome.心包减压综合征中的巨大左心室血栓。
Echocardiography. 2021 Aug;38(8):1471-1473. doi: 10.1111/echo.15151. Epub 2021 Jul 19.
5
Massive biventricular thrombi complicating new-onset heart failure in a patient with suspected COVID-19.一名疑似新型冠状病毒肺炎患者新发心力衰竭合并双心室巨大血栓形成。
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6
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7
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8
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