Campagnucci V P, Suzuki H Y, Franken R A, Rivetti L A
Faculdade de Ciências Médicas da Santa Casa de Misericórdia de São Paulo.
Arq Bras Cardiol. 1994 Jul;63(1):35-8.
To relate our experience with thrombolytic therapy in 8 patients with cardiac metal prosthesis complicated with thrombosis.
Eight patients with clinical and echocardiographic diagnosis of cardiac valvar prosthesis thrombosis were treated.
The treatment efficacy was evaluated by clinical and echocardiographic improvement. The authors recognized improvement in all 8 patients. One case of hemorrhage was observed (coxo-femoral articulation). Late death were observed twice: 24 months after, sudden death and 30 months later by hemorrhagic stroke.
The results indicated that thrombolytic therapy is best way to treat patients with cardiac valve thrombosis, instead of surgical treatment.
阐述我们对8例心脏金属假体合并血栓形成患者进行溶栓治疗的经验。
对8例经临床及超声心动图诊断为心脏瓣膜假体血栓形成的患者进行治疗。
通过临床及超声心动图改善情况评估治疗效果。作者发现所有8例患者均有改善。观察到1例出血（髋关节）。观察到2例晚期死亡：24个月后猝死，30个月后因出血性中风死亡。
结果表明，溶栓治疗是治疗心脏瓣膜血栓形成患者的最佳方法，而非手术治疗。
