在观察者设备放置后出现异常胸痛的病例
Salman Pervaiz1,2, Abeera Azam3, Masab Ali4
1Davis Heart and Lung Institute Columbus Ohio USA.
Clinical case reports
|July 30, 2025
概括
在Watchman设备植入后的胸痛为左心房尾关闭 (LAAC) 是罕见的. 通过手术切除该设备,在一名患者身上解决了持续的,无法解释的胸痛,这表明它是治疗的选择.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 使用像Watchman这样的设备来关闭左心房尾 (LAAC) 是预防心房动中风的抗凝药的替代方案.
- 胸痛是LAAC后的罕见并发症,潜在的原因包括心周炎或心肌梗塞.
研究的目的:
- 在Watchman设备植入后报告持续的,异常性胸痛病例.
- 为了突出考虑设备扩展,当保守的管理失败了无法解释的后LAAC胸痛.
主要方法:
- 一名患有心房的59岁男性接受了LAAC的Watchman设备安置.
- 进行了广泛的诊断工作,包括心电图,心声图和心脏导管,以确定术后胸痛的原因.
- 用素,抗炎药和类固醇进行保守治疗,但没有缓解症状.
主要成果:
- 患者出现了严重的,尖的,左侧胸部疼痛,加剧了Watchman植入后的灵感.
- 没有发现急性冠状动脉综合征,心周溢血或其他可识别的并发症的证据.
- 通过手术去除Watchman设备,导致了显著的症状缓解.
结论:
- 在LAAC后持续的异常性胸痛应该被视为潜在的并发症.
- 在LAAC后,当其他原因被排除在外时,设备扩展可能是LAAC后耐火症状患者的可行的治疗选择.
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