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心房颤动伴左房血栓患者的经皮二尖瓣球囊扩张术
引用本文:何浩,张小玲,徐健,严激,韩小萍.心房颤动伴左房血栓患者的经皮二尖瓣球囊扩张术[J].安徽医学,2011,32(8):1087-1088.
作者姓名:何浩  张小玲  徐健  严激  韩小萍
作者单位:安徽省立医院心内科,合肥,230001;安徽省立医院心内科,合肥,230001;安徽省立医院心内科,合肥,230001;安徽省立医院心内科,合肥,230001;安徽省立医院心内科,合肥,230001
摘    要:目的 评价经皮二尖瓣球囊扩张术(PBMV)治疗心房颤动(AF)伴左房血栓的二尖瓣狭窄患者的临床疗效.方法 选具备PBMV指征的风湿性二尖瓣狭窄(MS)合并心房颤动患者10例,经食管超声心动图(TEE)证实存在左房内血栓,均为2000年4月以后的住院患者,均予华法林治疗2个月后进行PBMV.扩张前后测左房压力,术后1周内...

关 键 词:心房颤动  左心房  血栓  经皮二尖瓣球囊扩张术

Percutaneous balloon mitral valvuloplasy in patients with atrial fibrilation and left atrial thrombus
He Hao,Zhang Xiaoling,Xu Jian,et al.Percutaneous balloon mitral valvuloplasy in patients with atrial fibrilation and left atrial thrombus[J].Anhui Medical Journal,2011,32(8):1087-1088.
Authors:He Hao  Zhang Xiaoling  Xu Jian  
Institution:He Hao,Zhang Xiaoling,Xu Jian,et al Department of Cardiology,Anhui Provincial Hospital,Hefei 23001,China
Abstract:Objective To evaluate the therapeutic effect of percutaneous balloon mitral valvuloplasy(PBMV) in patients with atrial fibrilation and left atrial thrombus.Methods 10 patients(9 women and 1 men,average age 45.5±2.1 years old) with left atrial thrombus founded by Transesophageal echocardiography(TEE) were observed.All cases received warfarin for more than 2 months before undergoing PBMV,to observe whether systematic thromboembolisrn occured during the PBMV operation.The parameters of hemodynamics and cardiac function of 10 patients were measured.Results The procedural success rate was l00%,no systemic thromoembolisrn occurred during and after PBMV.The parameters of hemodynamics and cardiac function were improved markedly.Conclusion PBMV on patients with with atrial fibrilation and left atrial thrombus is safe,effective,feasible after sufficient anticoagulation treatment.
Keywords:Atrial fibrilation  Left atrial  Thrombus  Percutaneous balloon mitral valvuloplasty  
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