Surgical Thrombectomy for Right Heart Thrombus with Acute Aortic Dissection
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- Fukuizumi Aya
- Division of Intensive and Cardiovascular Care Unit, Nippon Medical School Hospital, Nippon Medical School, Tokyo, Japan
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- Akutsu Koichi
- Division of Intensive and Cardiovascular Care Unit, Nippon Medical School Hospital, Nippon Medical School, Tokyo, Japan
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- Tokita Yukichi
- Division of Intensive and Cardiovascular Care Unit, Nippon Medical School Hospital, Nippon Medical School, Tokyo, Japan
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- Yamamoto Takeshi
- Division of Intensive and Cardiovascular Care Unit, Nippon Medical School Hospital, Nippon Medical School, Tokyo, Japan
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- Shimizu Wataru
- Department of Cardiology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan
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- Mizuno Kyoichi
- Department of Cardiology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan
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- Tanaka Keiji
- Division of Intensive and Cardiovascular Care Unit, Nippon Medical School Hospital, Nippon Medical School, Tokyo, Japan
抄録
An 81-year-old female complaining of severe back pain was admitted to hospital and diagnosed with acute type A aortic dissection with a thrombosed false lumen. Aggressive antihypertensive therapy was selected. On day 8, computed tomography showed pulmonary artery thrombus, and transthoracic echocardiography showed a 76 × 70 mm worm-like floating right heart thrombus. Thrombolytic therapy is reported to be the optimal treatment for patients with pulmonary embolism and floating right heart thrombus, but is contraindicated in acute aortic dissection. The patient underwent surgical thrombectomy, which revealed thrombus entrapped in the Chiari network. An inferior vena cava filter was placed. The patient recovered uneventfully and was discharged home after initiation of warfarin therapy.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 20 (Supplement), 937-940, 2014
Annals of Thoracic and Cardiovascular Surgery 編集委員会