瓣膜置换术后急性冠状动脉栓塞一例
摘要
在冠状动脉本身未发现明显病变的情 况下,AMI 的发生也有报道,其中冠状动脉栓塞(coronary artery embolism, CAE) 是
主要病因之一。本文报告了一例主动脉瓣置换术后患者,由于口服抗凝药物华 法林治疗不达标,导致瓣膜血栓形成并栓塞
冠状动脉,最终引发 2 型心肌梗死 (Type 2 Myocardial Infarction, T2MI)。通过详细分析该病例的临床表现、辅助检 查结
果、诊断依据、发病机制及治疗方案,为临床诊治类似病例提供参考。
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[1]Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/
EACTS Guidelines for the management of valvular heart
disease [published correction appears in Eur Heart J. 2022 Jun
1;43(21):2022. doi: 10. 1093/eurheartj/ehac051]. Eur Heart J.
2022;43(7):561-632. doi:10. 1093/eurheartj/ehab395
[2] Puskas J, Gerdisch M, Nichols D, Quinn R, Anderson C,
Rhenman B, Fermin L, McGrath M, Kong B, Hughes C, Sethi G,
Wait M, Martin T, Graeve A, PROACT Investigators. Reduced
anticoagulation after mechanical aortic valve replacement:
interim results from the prospective randomized on-X valve
anticoagulation clinical trial randomized Food and Drug
Administration investigational device exemption trial. J Thorac
Cardiovasc Surg 2014;147:1202 1210; discussion 1210-1201.
[3]Özkan M, Gündüz S, Gürsoy OM, et al. Ultraslow
thrombolytic therapy: A novel strategy in the management of
PROsthetic MEchanical valve Thrombosis and the prEdictors of
outcomE: The Ultra-slow PROMETEE trial. Am Heart
J. 2015;170(2):409-418.
[4]Serban A, Gavan D, Pepine D, et al. Mechanical
valve thrombosis: Current management and differences
between guidelines. Trends Cardiovasc Med.
2024;34(6):351-359.
[5]Lodge J, Pitcher A, Srivastava V, Spartera M.
Thrombotic mechanisms in low-thrombogenicity mechanical
mitral valve prostheses. Eur Heart J Cardiovasc Imaging.
2022;24(1):e24. doi:10. 1093/ehjci/jeac221
[6]Heneghan C, Ward A, Perera R, et al. Self-monitoring
of oral anticoagulation: systematic review and meta-analysis of
individual patient data [published correction appears in Lancet.
2012 Mar 24;379(9821):1102]. Lancet. 2012;379(9813):322-334.
doi:10. 1016/S0140-6736(11)61294-4
[7]Thygesen K, Alpert JS, Jaffe AS, et al. Fourth universal
definition of myocardial infarction (2018). Eur Heart J.
2019;40(3):237-269.
[8]Senguttuvan NB, Ramakrishnan S, Singh S, Mishra S.
Percutaneous management of coronary embolism with prosthetic
heart valve thrombosis after Bentall’s procedure. Indian Heart J.
2015;67(6):589-591.
[9] Raphael CE, Heit JA, Reeder GS, et al. Coronary embolus:
an underappreciated cause of acute coronary syndromes[J]. JACC
Cardiovasc Interv,2018,11(2): 172-180.
[10] 方 震 , 何 胜 虎 , 张 晶 , 等 . 血 栓 抽 吸 治 疗 瓣 膜 置
换术后急性冠状动脉栓塞 1 例 [J]. 中国循证心血管医学杂
志 ,2022, 14(12):1514-1515.
[11] 李 波 , 赵 旭 . 主 动 脉 瓣 置 换 术 后 并 发 冠 状 动 脉
栓塞引起急性心肌梗死 1 例 [J]. 中国循证心血管医学杂
志 ,2023,15(02):242-243.
[12] 江智欣 , 姜楠 , 王治文 , 等 . 超声声学溶栓疗法在冠
状动脉血栓栓塞治疗中的创新性应用及研究进展 [J]. 武汉大
学学报 ( 医学版 ),2024,45(11):1391-1395.
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