【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22mm×22mm×45mm。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。更多还原

【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 spaceoccupying 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.更多还原