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人工肺动脉瓣梗阻的成功溶栓治疗。

Successful thrombolysis for prosthetic pulmonary valve obstruction.

作者信息

Lopez J A, Strickman N E, Jin B S, Li X G, Phan B, Zeluff B J, Wilansky S

机构信息

Department of Adult Cardiology, Texas Heart Institute, Houston, USA.

出版信息

Tex Heart Inst J. 1995;22(2):197-9.

PMID:7647607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325243/
Abstract

Thrombosis is a serious complication of prosthetic heart valve operations. In recent years, systemic thrombolysis has emerged as a suitable alternative to surgery. Experience with thrombosis of pulmonary prosthetic valves is very limited. We report a case of successful administration of intravenous streptokinase for thrombosis of a St. Jude Medical prosthetic valve 3 weeks after pulmonary valve replacement.

摘要

血栓形成是人工心脏瓣膜置换手术的一种严重并发症。近年来，全身溶栓已成为一种合适的手术替代方法。关于人工肺瓣膜血栓形成的经验非常有限。我们报告了1例在肺动脉瓣置换术后3周成功静脉注射链激酶治疗圣犹达医疗公司人工瓣膜血栓形成的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/2c2c9ccf4260/thij00033-0094-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/2489e635d8e9/thij00033-0094-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/4f79391ca282/thij00033-0094-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/2c2c9ccf4260/thij00033-0094-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/2489e635d8e9/thij00033-0094-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/4f79391ca282/thij00033-0094-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e49/325243/2c2c9ccf4260/thij00033-0094-c.jpg

相似文献

1
Successful thrombolysis for prosthetic pulmonary valve obstruction.人工肺动脉瓣梗阻的成功溶栓治疗。
Tex Heart Inst J. 1995;22(2):197-9.
2
[Systemic thrombolysis in acute obstruction of an artificial valve].
Orv Hetil. 1991 Oct 20;132(42):2323-5.
3
Late thrombosis of the Björk-Shiley tilting disc valve in the tricuspid position. Thrombolytic treatment with streptokinase.
J Thorac Cardiovasc Surg. 1986 Jan;91(1):1-8.
4
Successful thrombolysis of prosthetic mitral valve thrombosis in early pregnancy.妊娠早期人工二尖瓣血栓形成的成功溶栓治疗。
J Heart Valve Dis. 2001 May;10(3):393-5.
5
Thrombolytic therapy for obstruction of mechanical prosthetic valves.
Mayo Clin Proc. 1996 Jun;71(6):605-13. doi: 10.4065/71.6.605.
6
Thrombolysis of prosthetic tricuspid valve thrombosis with human recombinant tissue plasminogen activator in an adolescent.青少年人工三尖瓣血栓形成采用重组人组织型纤溶酶原激活剂进行溶栓治疗。
Pediatr Cardiol. 2000 Jul-Aug;21(4):397-400. doi: 10.1007/s002460010092.
7
Streptokinase therapy in a five-year-old child with prosthetic mitral valve thrombosis.一名患有人工二尖瓣血栓形成的5岁儿童的链激酶治疗
Int J Cardiol. 1993 Jul 15;40(3):291-2. doi: 10.1016/0167-5273(93)90015-9.
8
Safety of thrombolytic therapy in patients with prosthetic heart valve thrombosis who have high international normalized ratio levels.国际标准化比值水平较高的人工心脏瓣膜血栓形成患者溶栓治疗的安全性。
J Card Surg. 2020 Oct;35(10):2522-2528. doi: 10.1111/jocs.14777.
9
Doppler echocardiographic evaluation of streptokinase lysis of thrombosed right-sided St. Jude Medical valves in patients with congenital heart defects.先天性心脏缺陷患者中，经超声心动图用多普勒评估链激酶溶解右侧圣犹达医疗瓣膜血栓的效果。
Am Heart J. 1991 Apr;121(4 Pt 1):1156-60. doi: 10.1016/0002-8703(91)90677-a.
10
Role of thrombolytic therapy for stuck prosthetic valves: a serial echocardiographic study.溶栓治疗对卡瓣人工瓣膜的作用：一项系列超声心动图研究。
Indian Heart J. 2001 Jul-Aug;53(4):451-7.

本文引用的文献

1
Pulmonary valve replacement for regurgitation after repair of tetralogy of Fallot.法洛四联症修复术后因反流进行肺动脉瓣置换术。
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Successful thrombolytic therapy after acute tricuspid-valve obstruction.急性三尖瓣梗阻后成功的溶栓治疗。
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Thrombosed St. Jude Medical valve prosthesis in the right side of the heart in patients with tetralogy of Fallot.
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Valve replacement in the right side of the heart in children: long-term follow-up.儿童心脏右侧瓣膜置换术：长期随访
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Thrombotic obstruction of disc valves: clinical recognition and surgical management.盘状瓣膜的血栓性梗阻：临床识别与手术治疗
Ann Thorac Surg. 1989 Jul;48(1):60-5. doi: 10.1016/0003-4975(89)90177-x.
6
Obstruction of mechanical heart valve prostheses: clinical aspects and surgical management.机械心脏瓣膜假体梗阻：临床情况与外科治疗
J Am Coll Cardiol. 1991 Mar 1;17(3):646-50. doi: 10.1016/s0735-1097(10)80178-0.
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Thrombolytic therapy for prosthetic valve thrombosis: a study based on serial Doppler echocardiographic evaluation.人工瓣膜血栓形成的溶栓治疗：一项基于连续多普勒超声心动图评估的研究。
Am Heart J. 1992 Jun;123(6):1575-80. doi: 10.1016/0002-8703(92)90812-a.
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Successful thrombolytic therapy for prosthetic pulmonary valve thrombosis evaluated by Doppler echocardiography.经多普勒超声心动图评估的人工肺动脉瓣血栓形成的成功溶栓治疗
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Thrombolytic therapy for right heart lesions.右心病变的溶栓治疗。
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