...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Circulation journal >Triple-chamber cardiac thrombosis in a patient with atrial fibrillation and severe left ventricular dysfunction.
【24h】

Triple-chamber cardiac thrombosis in a patient with atrial fibrillation and severe left ventricular dysfunction.

机译：房颤和严重左心功能不全患者的三腔心脏血栓形成。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A 74-year-old man with a history of hypertension was admitted for further examination of worsening exer-tional dyspnea. On admission, his heart rate was 140beats/min and the rhythm was irregular. An ECG showed atrial fibrillation (AF) and chest X-ray revealed increased car-diothoracic ratio, with pulmonary congestion and bilateral pleural effusion. Transthoracic echocardiography (TTE) demonstrated a large mural thrombus in the left ventricular (LV) apex and severe LV dysfunction, with fractional shortening of 11 % and diffuse, severe hypokinetic wall motion (Figure 1A). Moderate mitral regurgitation (MR), because of leaflet tethering, and enlarged atria were also detected. A small mass lesion detected in the right atrium (RA) was considered to be a thrombus. Because the patient was not taking any medication other than antihypertensive drugs, administration of diuretics and anticoagulant drugs was promptly initiated. Laboratory data showed normal levels of proteins C and S, and negative anti-phospholipid antibodies. Follow-up TTE (3 days later) revealed that the thrombus in the LV apex had become a 20xl6mm mobile thrombus, and the mass lesion in the RA had increased in size to 22x22 mm (Figure IB). Coronary angiography showed a normal coronary artery. He was referred for surgical treatment of the mobile thrombus in the LV apex and the mass lesion in the RA. Post-induction transesophageal echocardiography detected the thrombus in the left atrial appendage (LAA) (Figure 2).
机译：一名有高血压病史的74岁男子被接受进一步检查，以检查其是否出现劳累性呼吸困难。入院时，他的心律为140次/分钟，心律不规则。心电图显示房颤（AF），胸部X线检查显示心胸胸廓比例增加，伴有肺充血和双侧胸腔积液。经胸超声心动图（TTE）显示左心室（LV）根尖有较大的壁血栓和严重的LV功能障碍，分数缩短了11％，并且弥漫性，严重的运动功能减退（图1A）。由于小叶系留，导致中度二尖瓣反流（MR）和心房增大。在右心房（RA）中检测到的小块病变被认为是血栓。由于该患者除了服用降压药外没有服用任何其他药物，因此迅速开始使用利尿剂和抗凝药。实验室数据显示蛋白C和S正常水平，抗磷脂抗体阴性。随访TTE（3天后）显示，LV顶点的血栓已经变成20x16mm的活动血栓，而RA中的肿块病变大小已增大到22x22mm（图IB）。冠状动脉造影显示冠状动脉正常。他被转介到左心室活动性血栓和左心室肿块的手术治疗。诱导后经食道超声心动图检查发现左心耳（LAA）内有血栓（图2）。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号