Thrombosis of a St. Jude Medical tricuspid prosthesis. Case report.
Thrombosis of a St. Jude Medical tricuspid prosthesis. Case report.
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St. Jude Medical 三尖瓣假体的血栓形成。
DOI：
10.1016/s0022-5223(19)39364-x
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
Dale C. Wortham
中科院分区：
文献类型：
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作者：
Thomas E. Bowen;Thomas E. Bowen;Terry B. Tri;Terry B. Tri;Dale C. Wortham;Dale C. Wortham
St. Jude Medical三尖瓣心脏假体双瓣小叶血栓形成，导致瓣膜功能障碍，通过收缩期和舒张期三尖瓣杂音检测，并通过m模式和二维超声心动图证实。在双叶瓣膜的两个铰链处形成血栓，导致一个小叶粘在接近关闭的位置，而另一个小叶运动严重受阻。一名17岁男孩在过去2年中接受了6次人工心脏瓣膜置换术，两瓣小叶均发生血栓性受损伤，此前未见报道。未能在术后早期获得足够的抗凝治疗似乎与本病例的血栓形成有关。
Thrombosis of both valve leaflets of a St. Jude Medical tricuspid cardiac prosthesis, resulting in valvular dysfunction, was detected by systolic and diastolic tricuspid murmurs and confirmed by M-mode and two-dimensional echocardiograms. Thrombus formation at both hinge points of the bileaflet valve caused one leaflet to stick in the nearly closed position and the other to have severely impeded motion. Thrombotic involvement of both valve leaflets, not previously reported, occurred in a 17-year-old boy who has undergone six prosthetic cardiac valvular replacements in the past 2 years. Failure to achieve adequate anticoagulation in the early postoperative period appears to be related to the thrombosis in this case.