EMBOLIC ACCIDENT FOLLOWING HEPARIN-THERAPY FOR A LEFT-VENTRICULAR CLOT DIAGNOSED BY TEE - A CASE-REPORT

被引：1

作者：

AMUCHASTEGUI, LM

AMUCHASTEGUI, M

MOREYRA, E

SALOMONE, O

机构：

[1] Cardiology Department, Hospital Privado, Cordoba

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 1994年 / 11卷 / 02期

关键词：

TRANSESOPHAGEAL ECHOCARDIOGRAPHY; PARADOXICAL EMBOLIZATION WITH HEPARIN TREATMENT; LEFT VENTRICULAR THROMBUS;

D O I：

10.1111/j.1540-8175.1994.tb01066.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

There are few data available on the incidence of embolic events in patients with systemic anticoagulation. We describe a 40-year-old woman in congestive heart failure who was shown by transesophageal echocardiography to have an apical thrombus in the left ventricle without concomitant aneurysm. The patient was started on heparin immediately after the diagnosis was established. Twelve hours later she developed an embolic cerebrovascular accident. We believe that heparin dislodged the thrombus as occurs occasionally with thrombolytic agents used in the treatment of acute myocardial infarction.

引用

页码：197 / 200

页数：4

共 5 条

[1]

Stafford PJ, Strachan CJL, Vincent R, Et al., Multiple microemboli after disintegration of clot during thrombolysis for acute myocardial infarction, Br Med J, 299, pp. 1310-1312, (1989)

[2]

Manning WJ, Silverman DI, Gordon SPF, Et al., Cardioversion from atrial fibrillation without prolonged anticoagulation with use of transesophageal echocardiography to exclude the presence of atrial thrombi, N Engl J Med, 328, pp. 750-755, (1993)

[3]

Chang JC, White clot syndrome: A serious complication of heparin therapy, Postgrad Med, 87, pp. 293-298, (1990)

[4]

Shapiro JS, Embolic arterial occlusion in hepa‐rinized man, Hosp Practice, 24, pp. 136-138, (1989)

[5]

Kuhar PA, Hill KM, White clot syndrome: When heparin goes haywire, Am J Nursing, 91, pp. 59-60, (1991)

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