机械取栓术治疗一名镜像右心室缺血患者的急性左侧大脑中动脉闭塞症

IF 0.2 4区医学 Q4 CLINICAL NEUROLOGY

Neurology Asia Pub Date : 2023-12-01 DOI:10.54029/2023fmr

Xianmin Wang, Chao Jiang, Danni Chen, Xiaobo Li

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引用次数: 0

摘要

镜像右心室是一种生理变异，即心脏位于正常人心脏位置的右侧镜像位置。镜像右心室合并急性大动脉闭塞性卒中在临床上极为罕见。我们在此介绍一名左侧大脑中动脉完全堵塞的 67 岁女性患者。该患者还伴有镜像性右心室缺血。在本报告中，我们将分享使用机械性血栓切除术治疗该患者的经验。在急诊科就诊期间，我们进行了各种检查以了解患者的解剖结构。根据检查结果，我们决定从股动脉入路。我们结合支架血栓切除术和中间导管抽吸术，成功恢复了患者左侧大脑中动脉的血流。

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Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Mirror-image dextrocardia is a physiological variant in which the heart is located in a mirror position to the right of the position of the normal human heart. Mirror-image dextrocardia combined with acute large-artery occlusive stroke is extremely rare in clinical practice. We present here a 67-year- old woman with complete blockage in her left middle cerebral artery. The patient also had a mirror- image dextrocardia. In this report, we share our experience in treating the patient using mechanical thrombectomy. During her visit to the emergency department, we performed various tests to understand the patient’s anatomy. Based on the findings, we decided to approach the femoral artery. Using a combination of stent thrombectomy and intermediate catheter aspiration, we successfully restored blood flow to the patient’s left middle cerebral artery.

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来源期刊

Neurology Asia CLINICAL NEUROLOGY-

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

>0 weeks

期刊介绍： Neurology Asia (ISSN 1823-6138), previously known as Neurological Journal of South East Asia (ISSN 1394-780X), is the official journal of the ASEAN Neurological Association (ASNA), Asian & Oceanian Association of Neurology (AOAN), and the Asian & Oceanian Child Neurology Association. The primary purpose is to publish the results of study and research in neurology, with emphasis to neurological diseases occurring primarily in Asia, aspects of the diseases peculiar to Asia, and practices of neurology in Asia (Asian neurology).