作为延长的左捆分支区域节奏的并发症,经常出现的心脏吸血栓
Nurshafira Kamarulzaman1,2, Wan Nur Amirah Wan Abdullah1,2, Mohd Khairi Othman1,1
1Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia.
European journal of case reports in internal medicine
|February 10, 2025
概括
心脏损伤后综合征 (PCIS) 可能发生在心脏手术后,特别是在活性起器固定的情况下. 一个案例突出显示,由于复杂的解剖学,随着长时间的左捆分支区域节奏手术后,经常发生的心脏栓塞.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
- 干预心脏病学 干预心脏病学
背景情况:
- 心脏损伤后综合征 (PCIS) 是心脏干预后的一种已知的并发症.
- 它通常与免疫反应有关,特别是在心脏起器植入后.
- PCIS可以表现为心周溢出,可能导致心脏坦波纳.
研究的目的:
- 报告一个PCIS病例,呈现出复发性心脏栓塞.
- 要突出与新的节奏技术相关的潜在风险,如左捆分支区域节奏 (LBBAP).
- 为了强调延长程序与PCIS开发之间的关联.
主要方法:
- 病例报告详细介绍了一名接受LBBAP植入的患者.
- 描述患者具有挑战性的解剖学和延长的手术时间.
- 观察患者的表现,以经常性的心脏坦波纳德.
主要成果:
- 患者在经历了长时间的LBBAP手术后出现了PCIS和复发性心脏吸管.
- 复杂的解剖学有助于延长程序的持续时间.
- 该案例说明了LBBAP在复杂案件中的潜在并发症.
结论:
- 在心脏手术期间长时间使用光镜可能会增加PCIS的风险.
- 活性心脏起器固定被确定为PCIS的危险因素,原因是免疫反应.
- 对于患有先天性心脏病的成年人来说,LBBAP由于解剖学变异而存在独特的挑战.
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