左室内血栓的诊断和管理：一个临床病例

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2025-03-08 DOI:10.1016/j.ancard.2025.101863

Thibaut Renotte , Théophile Tamakloe , Jean-Louis Mariage , Xavier Michel , Baudry Gubin , Philippe Oriot , Emmanuelle Paternotte

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引用次数: 0

摘要

左室血栓（LVT）是缺血性和非缺血性心肌病的严重并发症，由于全身性栓塞，具有很高的发病率和死亡率。我们提出的情况下，一个73岁的男子心肌梗死史谁随后发展的根尖血栓。最初事件发生7年后，血栓引起脾梗死并发脓肿血肿。本病例强调了先进医学成像在LVT诊断中的关键作用，并强调了直接口服抗凝剂的新兴治疗潜力。它还强调了诊断和管理LVT的挑战，以及审查最新证据以改进和优化治疗策略的重要性。

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Approche diagnostique et prise en charge d'un thrombus intraventriculaire gauche compliqué par une embolie inattendue : un cas clinique

Left ventricular thrombus (LVT) is a serious complication of both ischemic and non-ischemic cardiomyopathies, with a high risk of morbidity and mortality due to systemic embolism. We present the case of a 73-year-old man with a history of myocardial infarction who subsequently developed an apical thrombus. Seven years after the initial event, this thrombus caused a splenic infarction complicated by an abscessed hematoma. This case underlines the critical role of advanced medical imaging in the diagnosis of LVT and highlights the emerging therapeutic potential of direct oral anticoagulants. It also highlights the challenges of diagnosing and managing LVT and the importance of reviewing the latest evidence to refine and optimize therapeutic strategies.

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.