超导管大动脉置换因大动脉右心室囊复杂修复通过门内置换而复杂化
Omar M Masarweh1,2, Anusha Ghaffar1,2, Stephanie Lopez-Orizondo1,2
1University of Central Florida/HCA Healthcare GME, Greater Orlando, Florida, USA.
JACC. Case reports
|January 24, 2024
概括
一名患有大动脉狭窄症的患者经历了心力衰竭,原因是大动脉右心室囊在通过导管大动脉置换 (TAVR) 后. 随后的门内TAVR成功地减少了管流量并改善了症状.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 医疗器械 医疗器械
背景情况:
- 严重的大动脉狭窄带来了重大风险,往往需要干预.
- 过导管大动脉置换 (TAVR) 是对大动脉狭窄的常见治疗方法.
- 在TAVR后可能会出现诸如动脉心囊等并发症.
研究的目的:
- 报告TAVR后发生的一例大动脉右心室.
- 为了评估门内TAVR在治疗这种并发症方面的疗效.
- 为突出管理心脏衰竭的恶化二次到心血管.
主要方法:
- 一个59岁的男性的案例介绍,他以前有TAVR.
- 诊断性回声心脏图谱,以识别大动脉右心室和膜回.
- 干预程序:门中的门TAVR.
主要成果:
- 心声扫描证实了一种带有轻度至中度膜回的右侧大动脉心室.
- 进行了门内门TAVR.
- 在手术后,患者的症状有所改善,管流量减少.
结论:
- 大动脉右室囊是TAVR后的罕见但严重的并发症.
- 门内TAVR可以成为有效的治疗选择,用于管理心血管.
- 成功管理导致心力衰竭症状改善,并减少了管流动.
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