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Nonoperative management of aortic valve thrombus in a patient with left ventricular assist device

机译：左心室辅助装置患者主动脉瓣血栓的非术语管理

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摘要

A 70-year-old Hispanic female presented with severely decompensated dilated cardiomyopathy on milrinone infusion at home. She was classified as New York Heart Association functional classes III-IV and received maximal medical management in the hospital. Cardiac catheterization redemonstrated increased pressures in right atrium, right ventricle, and pulmonary artery with a cardiac index of 1.25 L/ min/m2 and left ventricular ejection fraction of 10%. The patient was considered for heart transplant but could not wait for a donor heart because of high panel-reactive antibodies. A left ventricular assist device (HeartMate-II, Thoratec Corp., Pleasanton, CA, USA) was implanted. Systemic anticoagulation therapy was started on postoperative day (POD) 2 with warfarin. The patient was also maintained on aspirin (81 mg, daily) and dipyridamole (75 mg, three times a day) therapy, and the international normalized ratio (INR) was targeted at 2.0-2.5.
机译：一个70岁的西班牙裔女性在家里的Milrinone输液中呈现严重失代偿的扩张心肌病。 她被归类为纽约心脏协会功能课程III-IV，并在医院接受了最大的医疗管理。 心脏导管插入件重新定注右心房，右心室和肺动脉的压力增加，心脏指数为1.25升/分钟/ m 2，左心室喷射部分10％。 患者被认为是心脏移植，但由于高面板反应性抗体，不能等待供体心脏。 植入了左心室辅助装置（HeartMate-II，Thoratec Corp.，Pleasanton，USA）。 系统抗凝治疗在术后一天（POD）2与华法林开始。 患者也保持在阿司匹林（81毫克，每日）和双嘧达莫（每天75毫克，三次，三次）治疗，并且国际标准化比率（INR）靶向2.0-2.5。

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  • 来源
    《Artificial Organs》 |2013年第8期|共2页
  • 作者

    SacherV.Y.; AndreopoulosF.; PhamS.M.;

  • 作者单位

    Department of Surgery University of Miami Miller School of Medicine Miami FL 33136 United;

    Department of Surgery University of Miami Miller School of Medicine Miami FL 33136 United;

    Department of Surgery University of Miami Miller School of Medicine Miami FL 33136 United;

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  • 正文语种 eng
  • 中图分类 器官移植术;
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