Reeder G S, Lengyel M, Tajik A J, Seward J B, Smith H C, Danielson G K
Mayo Clin Proc. 1981 Feb;56(2):77-81.
One hundred consecutive patients undergoing left ventricular aneurysmectomy were reviewed to determine the incidence of associated mural thrombus, the accuracy of angiography in detecting thrombus, and any effect of anticoagulant therapy on the incidence of thrombus and embolism. Thrombus was present in 48% of cases and was located in antero-apical aneurysms in all but two cases. Angiography resulted in correct diagnosis of thrombus with a sensitivity of only 31% and a predictive accuracy of 54%. Presence of mural thrombus correlated inversely with duration of anticoagulant therapy. Embolism occurred in 5% of patients with left ventricular aneurysm.
对连续100例行左心室室壁瘤切除术的患者进行回顾性研究，以确定合并壁血栓的发生率、血管造影检测血栓的准确性以及抗凝治疗对血栓和栓塞发生率的任何影响。48%的病例存在血栓，除两例外，所有血栓均位于前壁心尖部室壁瘤。血管造影对血栓的正确诊断敏感性仅为31%，预测准确性为54%。壁血栓的存在与抗凝治疗的持续时间呈负相关。左心室室壁瘤患者中5%发生栓塞。
