皮肤透导管 关闭心肌梗塞后的心脏病发作 手术贴片脱后心室隔膜断裂 皮肤透导管 关闭心肌梗塞后心室隔膜断裂 手术贴片脱后心室脱
Puneet Varma1,2, Cristina Ferrari1, Marco Gennari3
1Structural and Valvular Interventional Cardiology Unit, Department of Interventional Cardiology, Centro Cardiologico Monzino IRCCS, Milan, Lombardy, Italy.
概括
心肌梗塞后心室隔膜破裂 (MI-VSR) 是一种严重的并发症. 本案例报告详细介绍了一个具有挑战性的MI-VSR关闭,最初是外科手术,然后是穿皮,突出显示复杂病例的设备关闭.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 心肌梗塞后心室隔膜破裂 (MI-VSR) 是一个重大的临床挑战.
- 手术修复VSR与高死亡率和发病率有关.
研究的目的:
- 描述一个具有挑战性的MI-VSR.病例.
- 在复杂的MI-VSR后病例中说明穿皮装置关闭的实用性.
主要方法:
- 一名患有MI-VSR的患者接受了初步的手术关闭.
- 手术修复失败需要大动脉内气球 (IABP) 的支持.
- 随后,使用专门的VSR装置进行了穿皮关闭.
主要成果:
- 最初的手术关闭失败,需要机械循环支持.
- 穿皮装置的关闭在技术上是成功的.
- 设备关闭后,患者的临床状况得到改善.
结论:
- 穿皮装置关闭是复杂或失败的手术VSR修复的可行选择.
- 在选择的MI-VSR患者中,早期考虑设备关闭可能是有益的.
- 多学科的方法对于管理MI-VSR并发症至关重要.
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