Inactive large cerebral hemorrhage is not exacerbated by the adjustment of anticoagulation post open-heart surgery
Journal of Cardiology Cases(2021)
摘要
Optimal timing of open-heart surgery for the treatment of patients with cerebral hemorrhage remains controversial because systemic heparinization may lead to catastrophic bleeding. Several recent reports have shown that patients who undergo open-heart surgery .within a few weeks of cerebral hemorrhage have a much lower risk of exacerbated bleeding than previously considered. Herein, we report a case of left atrial myxoma and large hemorrhagic embolic stroke, which was successfully operated on with no exacerbation of cerebral hemorrhage. Careful assessment of time-course changes in cerebral hemorrhage by neurological imaging and adjustment of anticoagulation can help prevent the exacerbation of postoperative cerebral hemorrhage and neurological deterioration.
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关键词
Cerebral hemorrhage,Hemorrhagic stroke,Myxoma,Open-heart surgery,Low-dose heparin,Nafamostat mesilate
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