室性早搏射频消融术后主动脉血栓形成1例A rare case of aortic thrombosis after radiofrequency ablation
徐林,刘道权,简讯,易东,黄金凯,喻恒,鄢华
摘要(Abstract):
射频消融术后并发主动脉血栓形成是一种罕见危急的术后并发症,因发病率低、临床表现不典型而极易延误诊断,栓塞风险极高,死亡率高。本病例为近期收治确诊预后良好的室性早搏消融术后主动脉血栓形成1例,将该患者的临床表现、病例资料、治疗方案、预后等资料报道并作相关讨论,以供参考。
关键词(KeyWords): 室性早搏;射频消融;主动脉血栓形成
基金项目(Foundation):
作者(Author): 徐林,刘道权,简讯,易东,黄金凯,喻恒,鄢华
参考文献(References):
- [1]Thakur RK,Klein GJ,Yee R,et al.Embolic complications after radiofrequency catheter ablation[J].Am J Cardiol,1994,74(3):278-279.DOI:10.1016/0002-9149(94)90373-5.
- [2]Michelucci A,Antonucci E,Conti AA,et al.Electrophysiologic procedures and activation of the hemostatic system[J].Am Heart J,1999,138(1 Pt 1):128-132.DOI:10.1016/s0002-8703(99)70257-7.
- [3]Hochholzer W,Schlittenhardt D,Arentz T,et al.Platelet activation and myocardial necrosis in patients undergoing radiofrequency and cryoablation of isthmus-dependent atrial flutter[J].Europace,2007,9(7):490-495.DOI:10.1093/europace/eum039.
- [4]温淑珍,丁会霞,范作文,等.射频消融对血小板活性的影响[J].齐鲁医学杂志,2002,17(3):227-228.DOI:10.3969/j.issn.1008-0341.2002.03.020.
- [5]杨舒一,曾文娟,杨亮,等.主动脉漂浮血栓CTA征象分析及其处理策略[J].临床心血管病杂志,2017,33(1):95-99.DOI:10.13201/j.issn.1001-1439.2017.01.023.
- [6] 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.DOI:10.1016/j.forsciint.2006.08.025.
- [7] Martens T,Van Herzeele I,Jacobs B,et al.Treatment of symptomatic mobile aortic thrombus[J].Acta Chir Belg,2010,110(3):361-364.DOI:10.1080/00015458.2010.11680635.