双边多发性中风,左上肢缺血和跨导管大动脉植入中的过渡性完整心房阻塞:一个病例报告
Yuki Mitsuta1, Shingo Nakamura2, Yumiko Uemura3
1Department of Anesthesiology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
JA clinical reports
|November 6, 2023
概括
通过导管的大动脉植入 (TAVI) 可能会导致膜损伤脱落,导致栓塞. 这一案例突出显示了TAVI手术后潜在的脑和四肢心脏病发作.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 过导管大动脉植入 (TAVI) 是对大动脉狭窄的一种微创手术.
- TAVI的一个潜在并发症是大动脉损伤的脱落,导致栓塞事件.
研究的目的:
- 报告TAVI后发生的广泛栓塞病例.
- 为了突出与TAVI期间大动脉膜化相关的风险.
主要方法:
- 一个病例介绍,一名87岁的妇女因严重的大动脉狭窄而接受了TAVI.
- 在手术期间和之后监测血液动力学参数和神经状态.
主要成果:
- 导管通道后发生了显著的血液动力学变化和完全的心房阻塞.
- 在TAVI后,患者有意识不良和左手缺血.
- 图像检测证实大脑和小脑发生了多次栓塞性心脏病发作.
结论:
- 在TAVI期间化大动脉损伤的脱离可能导致广泛的栓塞.
- 栓塞事件可以影响大脑,四肢和冠状动脉.
- 对这种风险的认识对于TAVI程序至关重要.
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