由于双侧乳头肌肉破裂引起的心脏性冲击导致严重的腹反的TEER
Zheng Hu1, Hong-Ning Song2, Qing Zhou2
1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
JACC. Case reports
|April 19, 2025
概括
双侧乳头肌肉破裂是急性心肌缺血的一种罕见并发症. 一种新的270度旋转的抓握技术在紧急情况下成功治疗了严重的 mitrale 吐 在急救 mitrale transcatheter 边缘到边缘修复过程中.
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:
- 双侧乳头肌 (PM) 破裂是急性心肌缺血的一个罕见但关键的并发症,导致严重的额头肌反 (MR).
- 及时诊断和干预对于管理这种危及生命的疾病至关重要.
研究的目的:
- 报告一种罕见的皮肤冠状动脉干预期间双边PM破裂的病例,以及随后的紧急 mitra transcatheter 边缘到边缘修复 (M-TEER).
- 为突出成功应用一种新的外科手术技术来管理复杂的M-TEER病例.
主要方法:
- 一名75岁的男性患者在PCI期间经历了左环动脉解剖,导致后部PM破裂和严重的MR.
- 进行了紧急M-TEER;然而,血液动力学不稳定性和上腺素的使用导致了前部PM破裂.
- 采用旋转270度的抓握技术来解决双边的PM破裂,成功地将严重的MR降低到轻度水平.
主要成果:
- 旋转270°的抓握技术在M-TEER期间有效地管理了双边乳头肌肉破裂.
- 严重的额头吐明显减少到轻度水平,改善了血液动力学稳定性.
结论:
- 由于急性心肌缺血症导致重度MR的患者应谨慎使用积极的内类药物,因为它们可以加剧机械并发症.
- 旋转270度的抓住技术是提高在双边PM破裂的罕见情况下紧急M-TEER的成功率的一个有价值的方法.
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