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一个心脏骤停的病例是由于跨导管大动脉门的折叠
Fawaz Mohammed1, James C Gubitosa2, Travis R Huffman2
1Internal Medicine, University of Kentucky College of Medicine, Bowling Green, USA.
Cureus
|September 22, 2023
概括
通过导管的大动脉植入 (TAVI) 过程中假体膜内折是罕见的并发症. 这一案例证明了使用气球造术成功纠正内和严重的大动脉反 (AR),确保了患者的康复.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 假肢膜内折是通过导管的大动脉植入 (TAVI) 过程中罕见的并发症.
- 双主动脉和减少喷射率心力衰竭的患者可能面临更高的风险.
- 早期识别和管理对于防止不良结果至关重要.
研究的目的:
- 在TAVI期间报告一个假肢膜折的病例,导致心脏骤停.
- 要突出诊断方法来识别门内折.
- 提出一个成功的干预策略来纠正这种并发症.
主要方法:
- 一个61岁的男性因严重的大动脉狭窄而接受TAVI的案例介绍.
- 在手术期间进行血管图和心声图监测.
- 使用气球造术进行干预,以纠正假体膜内折和大动脉吐.
主要成果:
- 塔维装置的重新定位导致了假体门的折叠和严重的大动脉吐 (AR).
- 由于并发症,患者心脏骤停.
- 通过气球膜整形,成功地纠正了AR和血液动力恢复.
结论:
- 假肢膜折是TAVI的一个重要并发症,需要迅速识别.
- 血管图和心声图技术对于立即诊断至关重要.
- 气球膜整形术是一种有效的策略,用于纠正TAVI相关的膜内折和AR.
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