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通过手术切除治疗无二尖瓣疾病的左心房球形血栓。

Left atrial ball thrombi without mitral valve disease treated by surgical removal.

作者信息

Saito A, Hanzawa K, Nakayama T, Moro H, Ohzeki H, Hayashi J

机构信息

Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 1998 Jul;46(7):592-4. doi: 10.1007/BF03217785.

DOI:10.1007/BF03217785
PMID:9750439
Abstract

We describe two patients with free-floating left atrial ball thrombi with no evidence of cardiac disease except atrial fibrillation. One patient had experienced an embolic stroke, and the second patient had a history of stroke and peripheral thromboembolism. In each patient, the thrombi, which were not visible on transthoracic echocardiography, were detected by transesophageal echocardiography. Each patient underwent successful surgical removal using cardiopulmonary bypass.

摘要

我们描述了两名患有游离性左心房球形血栓的患者,除房颤外无心脏病证据。一名患者曾发生过栓塞性中风,另一名患者有中风和外周血栓栓塞病史。在每名患者中,经胸超声心动图未发现血栓,而经食管超声心动图检测到了血栓。每名患者均在体外循环下成功进行了手术摘除。

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引用本文的文献

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Unusual Case of a Free-floating Ball Thrombus with Preserved Attachment to the Left Atrial Appendage Causing Recurrent Obstruction of the Left Ventricular Outflow Tract.一例罕见的游离球形血栓病例,其与左心耳仍有附着,导致左心室流出道反复梗阻
Clin Med Insights Cardiol. 2014 Nov 2;8(Suppl 2):5-7. doi: 10.4137/CMC.S18547. eCollection 2014.
2
Free-floating left atrial ball thrombus without mitral valve disease.无二尖瓣疾病的游离性左心房球形血栓
Jpn J Thorac Cardiovasc Surg. 2005 Jan;53(1):52-4. doi: 10.1007/s11748-005-1011-9.

本文引用的文献

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Atrial fibrillation, anticoagulation, and stroke.
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Prevalence of residual left atrial thrombi among patients with acute thromboembolism and newly recognized atrial fibrillation.
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Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study.经食管超声心动图识别左心房血栓的准确性:一项前瞻性术中研究。
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Left atrial ball thrombus: review of clinical and echocardiographic manifestations with suggestions for management.左心房球形血栓:临床与超声心动图表现回顾及处理建议
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Superiority of transesophageal echocardiography in detecting cardiac source of embolism in patients with cerebral ischemia of uncertain etiology.经食管超声心动图在检测病因不明的脑缺血患者心脏栓塞源方面的优越性。
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6
Left atrial ball thrombus in nonrheumatic atrial fibrillation diagnosed by transesophageal echocardiography.经食管超声心动图诊断非风湿性心房颤动患者的左心房球形血栓。
Am Heart J. 1992 May;123(5):1394-7. doi: 10.1016/0002-8703(92)91055-6.