成功治疗与心肌炎相关的大块双室血栓1例。

IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Frontiers in Cardiovascular Medicine Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI:10.3389/fcvm.2025.1530548

Chunshui Liang, Hong Liu, Zhezhe Cao, Tianbo Li, Yong Wang, Yingbin Xiao, Ruiyan Ma

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引用次数: 0

摘要

背景：与心肌炎相关的大量双室血栓是罕见的，并且对治疗提出了重大挑战。病例介绍：一位来自高原地区的24岁男性，表现为呼吸困难、胸痛和脑梗死/出血。影像学示巨大双室血栓(左：81 × 62 × 59 mm；右：59 × 16 mm)， LVEF为25%。处理：多学科治疗包括抗凝和GDMT。结果：血栓在10周内完全溶解，心功能改善（LVEF 48%），无栓塞复发。结论：药物治疗可有效治疗心肌炎合并大量双室血栓。

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Successful treatment of massive biventricular thrombi associated with myocarditis: a case report.

Background: Massive biventricular thrombi associated with myocarditis are rare and pose significant management challenges.

Case presentation: A 24-year-old male from a plateau region presented with dyspnea, chest pain, and cerebral infarction/hemorrhage. Imaging revealed giant biventricular thrombi (left: 81 × 62 × 59 mm; right: 59 × 16 mm) and LVEF of 25%.

Management: Multidisciplinary therapy included anticoagulation and GDMT.

Outcomes: Complete thrombus resolution occurred by 10 weeks, with improved cardiac function (LVEF 48%) and no recurrent embolism.

Conclusion: Drug therapy may be effective for massive biventricular thrombi in myocarditis.

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来源期刊

Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.80

自引率

11.10%

发文量

3529

审稿时长

14 weeks

期刊介绍： Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.