升主动脉内巨大血栓1例报告及文献复习

doi:10.13481/j.1671-587x.20180533

吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (05): 1065-1067.doi: 10.13481/j.1671-587x.20180533

升主动脉内巨大血栓1例报告及文献复习

王宝刚¹, 满霞霞², 马大实¹, 王勇¹, 曹殿波³

1. 吉林大学第一医院心脏外科, 吉林长春 130021;
2. 吉林大学第一医院肿瘤妇科, 吉林长春 130021;
3. 吉林大学第一医院放射线科, 吉林长春 130021

收稿日期:2018-03-03 出版日期:2018-09-28 发布日期:2018-11-20
通讯作者: 马大实,副主任医师(Tel:0431-82775511,E-mail:jdyyxwkma@163.com) E-mail:jdyyxwkma@163.com
作者简介:王宝刚(1980-),男,吉林省长春市人,主治医师,医学博士,主要从事心脏和大血管外科的基础及临床方面的研究。
基金资助:
吉林省科技厅青年科研基金项目资助课题（20160520148JH）；吉林省卫计委青年科技骨干培养计划项目资助课题（2017Q018）；吉林省中医药管理局中医药科技项目资助课题（2017244）；吉林省教育厅"十三五"科研项目资助课题（JJKH20180199KJ）

Huge thrombus in ascending aorta:A case report and literature review

WANG Baogang¹, MAN Xiaxia², MA Dashi¹, WANG Yong¹, CAO Dianbo³

1. Department of Cardiac Surgery, First Hospital, Jilin University, Changchun 130021, China;
2. Department of Oncologic Gynecology, First Hospital, Jilin University, Changchun 130021, China;
3. Department of Radiology, First hospital, Jilin University, Changchun 130021, China

Received:2018-03-03 Online:2018-09-28 Published:2018-11-20

摘要/Abstract

摘要： 目的：分析升主动脉腔内巨大血栓的临床诊断及治疗的思路，探讨其治疗手段。方法：回顾性分析在临床上极为少见的1例升主动脉内血栓患者的临床资料，将诊治过程进行总结，并进行相关文献复习。结果：患者为男性，因常规体检发现升主动脉内占位性病变入院。主动脉CT血管成像（CTA）提示升主动脉内病变大小为22 mm×22 mm×45 mm。为避免体循环系统栓塞的发生进行病变切除和人工血管置换。术后病理证实病变性质为血栓。结论：主动脉CTA是升主动脉腔内血栓的有效检查手段。血栓清除和人工血管植入可以降低缺血性卒中复发的风险。

关键词: 主动脉血栓, 栓塞, 主动脉CT血管造影, 血栓清除

Abstract: Objective:To explore the clinical diagnosis and treatment of huge thrombus in ascending aorta, and to clarify its treatment methods. Methods:The clinical materials of one patient with ascending aortic thrombus were retrospectively analyzed and the diagnosis and treatment were summerized, and the relevent literatures were reviewed. Results:The patient was male, and admitted to hospital due to space-occupying lesion in the ascending aorta in routine examination. The results of aortic CTA reported that there was a 22 mm×22 mm×45 mm space-occupying lesion in the ascending aorta. The patient was successfully treated with thrombectomy and ascending aorta replacement in order to prevent the systemic embolization.The histopathological examination revealed that the lesion was thrombus. Conclusion:Aortic CTA is a useful examination for the patients with thrombus in ascending aorta. Resection of thrombus and implantation of vascular graft can reduce the risk of recurrent stroke effectively.

Key words: aortic thrombus, embolism, aortic computed tomography angiography, thrombectomy

中图分类号:

R543.13

王宝刚, 满霞霞, 马大实, 王勇, 曹殿波. 升主动脉内巨大血栓1例报告及文献复习[J]. 吉林大学学报(医学版), 2018, 44(05): 1065-1067.

WANG Baogang, MAN Xiaxia, MA Dashi, WANG Yong, CAO Dianbo. Huge thrombus in ascending aorta:A case report and literature review[J]. Journal of Jilin University(Medicine Edition), 2018, 44(05): 1065-1067.

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升主动脉内巨大血栓1例报告及文献复习

Huge thrombus in ascending aorta:A case report and literature review

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