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首页> 外文期刊>The journal of Tehran Heart Center. >Percutaneous Balloon Mitral Valvuloplasty and Early Right Atrial Clot Formation: A Case Report
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Percutaneous Balloon Mitral Valvuloplasty and Early Right Atrial Clot Formation: A Case Report

机译：经皮球囊二尖瓣valvuloplasty和早期右心房凝块形成：案例报告

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Percutaneous balloon mitral valvuloplasty (PBMV) has recently become the treatment of choice for many patients suffering from mitral stenosis. In the current report, we introduce a 26-year-old woman who presented to us with palpitation and exertional dyspnea but without any remarkable medical history. ECG illustrated the sinus rhythm, transthoracic echocardiography (TTE) showed severe rheumatic mitral stenosis and (2 ) mitral regurgitation, and transesophageal echocardiography (TEE) demonstrated severe mitral stenosis and no thrombus. Accordingly, the patient underwent percutaneous transvenous mitral commissurotomy (PTMC). On the following day, TTE showed a fresh mobile thrombus in the right atrium attached to the atrial septum, which was confirmed by TEE. As a result, the patient received 1 mg/kg (60 mg) of enoxaparin subcutaneously twice daily plus 5 mg of warfarin daily. Subsequent TTE revealed no mass 4 days after the treatment. Evidence suggests that endocardial surface injury and trans-septal puncture during PTMC may be associated with clot formation, which is aggravated by low blood flow in the right atrium and the catheter as a foreign body. This case report emphasizes the importance of postPTMC anticoagulant therapy.
机译：经皮球囊二尖瓣valvuloplasty（PBMV）最近成为许多患有二尖瓣狭窄患者的选择的治疗。在目前的报告中，我们介绍了一名26岁的女性，他们向我们展示了触发和举行的呼吸困难，但没有任何显着的病史。 ECG被说明了窦性心律，经术超声心动图（TTE）显示出严重的风湿性二尖瓣狭窄和（2）二尖瓣反流性，并且经疗法超声心动图（TEE）证明了严重的二尖瓣狭窄和没有血栓。因此，患者接受经皮吞咽二尖瓣诱导术（PTMC）。第二天，TTE在右心房上展示了一个新鲜的移动血栓，附着在心房隔膜上，该间隔由TEE确认。结果，患者每天两次皮下映皮下两次，每日加5毫克华法林。治疗后，随后的TTE没有肿大。证据表明，PTMC期间的心内膜表面损伤和反间隔穿刺可能与凝块形成相关，这通过右心中的低血流和导管作为异物而加剧。本案例报告强调PostptMC抗凝血治疗的重要性。

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