Left atrial appendage thrombus detected by intraoperative transesophageal echocardiography in a patient with acute small bowel infarction -A case report-.
Left atrial appendage thrombus detected by intraoperative transesophageal echocardiography in a patient with acute small bowel infarction -A case report-.
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DOI：
10.4097/kjae.2010.59.4.279
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发表时间：
2010-10
影响因子：
2.9
通讯作者：
Shin KM
中科院分区：
文献类型：
--
作者：
Kang SS;Choi JK;Kim IS;Yoon YJ;Shin KM
急性肠系膜缺血和梗死是一种与高死亡率相关的紧急情况，通常由于肠系膜动脉栓塞或血栓形成。肠系膜动脉栓塞最常见的原因是左心房、左心室或心脏瓣膜的血栓移位。我们报告一例70岁的女性患者，术中经食道超声心动图检测到左心耳肠系膜动脉栓塞，并发急性小肠梗死，并接受抗凝治疗。
Acute mesenteric ischemia and infarction is an emergent situation associated with high mortality, commonly due to emboli or thrombosis of the mesenteric arteries. Embolism to the mesenteric arteries is most frequently due to a dislodged thrombus from the left atrium, left ventricle, or cardiac valves. We report a case of 70-year-old female patient with an acute small bowel infarction due to a mesenteric artery embolism dislodged from a left atrial appendage detected by intraoperative transesophageal echocardiography and followed by anticoagulation therapy.