非常慢的内心图像:医学史中的线索
Francesco Balata1,2, Simona Costantino3,2, Cristina Ferrari2
1Department of Clinical Sciences and Community Health, Cardiovascular Section, Università degli Studi di Milano, Milano, Italy.
BMJ case reports
|May 21, 2025
概括
在无症状患者的心脏手术几年后,暂时的心上节奏导线迁移到肺动脉. 迁移的节奏导线通过穿皮干预程序成功被移除.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 干预性放射学 干预性放射学
背景情况:
- 在心脏手术期间,暂时的表心节奏电线通常用于术后节律管理.
- 与保留或迁移的节拍线相关的并发症很少见,但可能导致严重的不良事件.
研究的目的:
- 报告一种独特的病例,即临时心上节律导线延迟迁移到肺动脉中.
- 突出诊断挑战和成功管理这种罕见的并发症.
主要方法:
- 一份病例报告,详细介绍了迁移的节奏电线的呈现,诊断成像和干预移除.
- 关于保留和迁移心脏节拍线的相关文献的审查.
主要成果:
- 一位无症状的患者在心脏手术多年后,偶然发现在肺动脉中迁移的临时心上节奏电线,在心脏手术后多年.
- 通过皮肤干预检索迁移的电线成功地进行了,没有直接的并发症.
结论:
- 暂时表心节拍线的延迟迁移是心脏手术后罕见但可能的长期并发症.
- 穿皮干预是一种安全有效的方法来管理迁移的节拍线,即使是最初植入后的几年.
相关概念视频
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Transthoracic Echocardiography (TTE)
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