在TAVR期间手术治疗本土大动脉膜叶片突破
David M Williams1, Andrew Castellano2, William Phillips3
1Department of Cardiothoracic Surgery, Ellis Medicine / St. Peter's Health Partners, 1201 Nott Street Suite 307, Schenectady, NY, 12308, USA. williamsdav@ellismedicine.org.
Journal of cardiothoracic surgery
|July 30, 2024
概括
超导管大动脉置换 (TAVR) 很少会导致本源大动脉的外流. 紧急手术对于管理这种并发症和预防TAVR患者的血栓栓塞事件至关重要.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 超导管大动脉置换 (TAVR) 在所有风险群体中对大动脉狭窄的利用正在增加.
- 呈现TAVR的一种罕见并发症,涉及先天性大动脉叶片突破.
- 这一案例突出了在气球可扩展的TAVR期间左冠状动脉尖端突破的具体实例.
研究的目的:
- 报告一个罕见的TAVR.之后本地大动脉膜传单流出的案例.
- 描述这种并发症的治疗方法,包括紧急的手术干预.
- 强调手术准备对TAVR相关问题的重要性.
主要方法:
- 一名78岁的男性患者接受了TAVR.
- 这项手术因原生大动脉叶片的左冠状动脉尖端的抽裂而复杂化.
- 紧急手术干预进行了尖端切除.
主要成果:
- 患者在TAVR期间经历了本土大动脉叶片的左冠状动脉尖端的脱落.
- 为了解决并发症,成功进行了手术尖端切除.
- 这项干预旨在预防潜在的血栓栓塞并发症.
结论:
- 原生主动脉叶片突破是TAVR的一个罕见但严重的并发症.
- 在气球大动脉膜整形术后严重的血液动力学不稳定的情况下,可疑的流血.
- 对于TAVR并发症,推使用较低的外科干预门,特别是因为TAVR的使用扩展到较低风险的患者.
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