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題名 | Stroke After Intraaortic Balloon Counterpulsation Associated with Mobile Atheroma in Thoracic Aorta Diagnosed Using Transesophageal Echocardiography=藉著術中經食道心臟超音波影像發現胸主動脈內氣球幫浦的脈動剝斷粥狀硬化物而造成術後腦中風--病例報告 |
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作者姓名(中文) | 何綺月; 洪健朗; 楊敏文; 呂保平; 林萍章; | 書刊名 | 長庚醫學 |
卷期 | 25:9 2002.09[民91.09] |
頁次 | 頁612-616 |
分類號 | 415.3161 |
關鍵詞 | 經食道心臟超音波; 主動脈內氣球幫浦; 動脈內膜表面脫落; Transesophageal echocardiography; Intraaortic balloon pump; Atherosclerotic debris; |
語文 | 英文(English) |
中文摘要 | 我們描述一位鬱血性心臟衰竭病人在接受冠狀動脈繞道手術和放置主動脈內氣球幫浦而產生術後椎塞性腦中風。術中經食道心臟起音波影像顯示出胸主動脈內膜表面有明顯不規則及分裂的物質且發現有一些分裂物脫落;由這個放置主動脈內氣球幫浦後發生中風的病例顯示出,術後產生中風的高危險性與主動脈腔表面脫落的物質及胸主動脈上附著浮動的脂肪沉積有關。在放置主動脈內氣球幫浦後,藉著經食道心臟超音波可以偵測一些主動脈粥狀硬化的殘餘物來預測中風或者末稍血管阻塞的危險性,如果這些殘餘物質是浮動的,那腦中風危險性也會跟著提高。 |
英文摘要 | We describe a patient who developed embolic stroke after cornary artery bypass grafting (CABG) associated with intraaortic balloon pump (IABP) insertion. Intraoperative transesophageal echocardiography(TEE) revealed marked irregular mass and disruption of the intimal surface of the thoracic aorta with overlying shaggy echogenic material on the intimal surface of the descending thoracic aortic lumen. This case of stroke after IABP insertion suggested that the balloon inflation fragmented some mobile components on the inner surface of the aorta, and this floating debris entered the systemic circulation. TEE might be able to predict the risk of stroke in such a patient. |
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