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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Safe and effective intravenous thrombolysis for acute ischemic stroke caused by left atrial myxoma.
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Safe and effective intravenous thrombolysis for acute ischemic stroke caused by left atrial myxoma.

机译:安全有效的静脉溶栓治疗左心房粘液瘤引起的急性缺血性中风。

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摘要

Atrial myxoma may be associated with syncope or sudden death attributed to left-sided cardiac outflow obstruction or embolization caused by tumor dislodgement or thrombus formation. Definitive treatment for primary and secondary stroke prevention is surgical resection. The role of thrombolysis in acute brain ischemia in patients with atrial myxoma is not defined. There are few data available regarding safety and efficacy of thrombolytic therapy in acute ischemic strokes caused by atrial myxoma. Prior case reports described partial success using intra-arterial local thrombolysis; however, this is invasive and can be associated with significant complications. A previously reported case of systemic thrombolysis resulted in development of cerebral hemorrhage. We describe a young man who presented with syncope and a dense stroke developing as a complication of atrial myxoma, followed by a remarkable recovery after treatment with intravenous recombinant tissue plasminogen activator and urgent cardiac surgery. Contrary to some expert opinion, systemic thrombolytic therapy may be safely and effectively used to treat acute ischemic strokes from atrial myxoma.
机译:心房粘液瘤可能与晕厥或突然死亡有关,后者可能是由于肿瘤移位或血栓形成所致的左侧心脏外流阻塞或栓塞。明确的治疗一级和二级卒中的预防方法是手术切除。心房粘液瘤患者溶栓在急性脑缺血中的作用尚未明确。关于由心房粘液瘤引起的急性缺血性卒中的溶栓治疗的安全性和有效性的数据很少。先前的病例报告描述了使用动脉内局部溶栓治疗的部分成功。然而,这是侵入性的,并可能伴有严重的并发症。先前报道的全身溶栓事件导致脑出血的发展。我们描述一个年轻人,表现为晕厥和密集性中风发展为心房粘液瘤的并发症,随后经静脉内重组组织纤溶酶原激活剂和紧急心脏手术治疗后显着恢复。与一些专家意见相反,全身溶栓治疗可安全有效地用于治疗心房粘液瘤引起的急性缺血性中风。

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