主动脉根部血栓致急性心肌梗死1例Acute myocardial infarction caused by embolism of thrombus in the aortic root: a case report
孙爱梅,卢永康,郭文钦,颜红兵,王丽丽
摘要(Abstract):
主动脉根部血栓是一种少见且危险的疾病,常可致灾难性栓塞事件,如急性心肌梗死、卒中和周围动脉栓塞。国内外文献报道的主动脉根部血栓治疗多以循环支持治疗下的外科手术取栓为主。本例患者表现为急性心肌梗死(主动脉根部漂浮血栓堵塞右冠状动脉窦),经溶栓治疗后血栓消失,但血栓溶解脱落致继发性双下肢动脉栓塞,虽经取栓治疗后预后尚可,但应引起重视。
关键词(KeyWords): 主动脉根部血栓;急性心肌梗死;溶栓;外科取栓术
基金项目(Foundation):
作者(Author): 孙爱梅,卢永康,郭文钦,颜红兵,王丽丽
参考文献(References):
- [1] Kolvekar SK, Chaubey S, Firmin R. Floating thrombus in the aorta[J]. Ann Thorac Surg, 2001,72(3):925-927.
- [2] Eguchi K, Ohtaki E, Misu K, et al. Acute myocardial infarction caused by embolism of thrombus in the right coronary sinus of Valsalva:a case report and review of the literature[J]. J Am Soc Echocardiogr, 2004,17(2):173-177.
- [3] Ennezat PV, Sudre A, Pouwels S, et al. Acute coronary syndromes associated with thrombus in the sinus of valsalva and normal coronary arteriography:the pivotal role of transesophageal echocardiography in the intensive care unit[J]. Mayo Clin Proc, 2006,81(3):399-402.
- [4] Knoess M, Otto M, Kracht T, et al. Two consecutive fatal cases of acute myocardial infarction caused by free floating thrombus in the ascending aorta and review of literature[J].Forensic Sci Int, 2007,171(1):78-83.
- [5] Ozaki N, Yuji D, Sato M, et al. A floating thrombus in the ascending aorta complicated by acute myocardial infarction[J].Gen Thorac Cardiovasc Surg, 2017,65(4):213-215.
- [6] Saygi S, Alioglu E, Karabulut MN, et al. A floating thrombus in sinus of valsalva complicated with cardiogenic shock in a patient with plasminogen activator inhibitor 1 4G/5G polymorphism[J].Echocardiography, 2011,28(8):E164-E167.