经过过导管中枢边缘修复后的急性B型大动脉剖析:一个病例报告
Guizhou Ma1, Linjie Zhou1, Dianyu Cai1
1Department of Cardiology, Shantou Central Hospital, #114 Waima Road, Jinping District, Shantou City 515031, Guangdong Province, PR China.
European heart journal. Case reports
|September 3, 2024
概括
经食道心声学可能导致B型主动脉解剖在经管管中枢修复过程中. 这种罕见但严重的并发症与探头操纵有关,需要临床注意.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 血管外科 血管外科
背景情况:
- 过导管边缘到边缘修复 (TEER) 是严重的额头回的常见程序.
- 过食管回声心电图 (TEE) 经常用于TEER期间的指导.
- 大动脉解剖是一种罕见但严重的并发症,与心脏手术有关.
研究的目的:
- 在TEER之后报告一种罕见的B型大动脉剖析病例.
- 调查TEE探头在引起大动脉剖析中的潜在作用.
- 为了提高人们对这种可能致命的并发症的认识.
主要方法:
- 一个病例报告,一名68岁的男性患者因严重的额头骨吐而接受TEER治疗.
- 在植入MitraClip XTR设备时使用了TEE指导.
- 计算机断层扫描血管造影是为了诊断大动脉剖析而进行的.
主要成果:
- 成功的TEER导致了微量额头吐.
- 患者在手术后出现持续的背部疼痛,这表明大动脉剖析.
- 计算机断层扫描血管学证实了B型主动脉解剖在下降的主动脉.
- 在保守治疗失败后,内血管支架成功进行.
结论:
- 经食管回声心脏学探针操纵可能是TEER期间B型大动脉剖析的潜在原因.
- 重复的探针曲可能导致下降大动脉的压缩诱导损伤.
- 这种罕见的并发症需要仔细注意,因为它可能是致命的.
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