穿透导管大动脉植入后的一个不寻常的并发症:一个病例报告
Alba Abril Molina1, Mónica Fernández Quero2, José E López Haldón2
1Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda Norte, s/n, Huelva 21005, Spain.
European heart journal. Case reports
|February 9, 2024
概括
腹腔隔膜缺陷 (VSD) 是通过导管的大动脉植入 (TAVI) 的罕见并发症,特别是在门内程序中. 穿皮关闭是一种具有挑战性的,但最喜欢的治疗症状的VSDs.
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:
- 心室隔膜缺陷 (VSD) 是通过导管的大动脉植入 (TAVI) 后的一种不常见的并发症.
- 在TAVI后发生VSD的风险因素尚未完全理解,但可能涉及门过大,化和特定的患者解剖学.
- 门内 (ViV) TAVI程序存在独特的挑战和潜在的并发症,包括VSD.
研究的目的:
- 描述一个在门内TAVI手术后与生物假肢骨折发生的阳性静脉瘤病例.
- 突出一个复杂的病人皮肤通道VSD关闭的挑战和结果.
- 讨论VSD作为TAVI和ViV程序的并发症的影响.
主要方法:
- 一份病例报告,一名80岁的妇女因退化生物假体大动脉而接受ViV TAVI治疗.
- 该程序涉及烟支架用于冠状动脉保护和生物假体门骨折,以管理高梯度.
- 由于持续的症状,两次进行了通过皮肤关闭阳性VSD.
主要成果:
- 在ViV TAVI手术中,在生物假肢骨折期间发生了阳性静脉瘤.
- 患者出现了症状性心力衰竭和溶血性贫血,需要关闭VSD.
- 经过两次尝试,成功,尽管具有挑战性,VSD的穿皮关闭得到了实现.
结论:
- 门内TAVI,特别是在生物假体门骨折的情况下,存在VSD的风险.
- 穿皮关闭是一种可行的,尽管在技术上要求高的选择,用于TAVI后的症状性阳性VSD.
- 仔细的患者选择和程序技术至关重要,以尽量减少TAVI期间的VSD并发症.
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