Abstract
既往左心耳内血栓是左心耳封堵的禁忌证。该文报道1例心房颤动患者，有反复脑梗死病史，合并糖尿病、肾功能不全及冠心病，心脏CT血管成像诊断左心耳血栓，因抗凝治疗不耐受，故行左心耳封堵术。术后予抗凝和/或抗血小板治疗仍反复发生器械相关血栓。提示心房颤动合并左心耳血栓患者应慎行左心耳封堵术，术后需个体化调整抗栓方案、密切随诊。.
MeSH terms
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Atrial Appendage* / diagnostic imaging
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Atrial Appendage* / surgery
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Atrial Fibrillation*
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Cardiac Surgical Procedures*
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Echocardiography, Transesophageal
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Humans
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Stroke*
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Thromboembolism*
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Thrombosis*
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Treatment Outcome