这是一种微创手术的不常见并发症
Valerio Massimo Magro1,2, Andrea Sorbino2, Nicola Manocchio2
1Department of Internal Medicine and Geriatry, Echocardiography Unit, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia 2, 80100 Naples, Italy.
Indian journal of thoracic and cardiovascular surgery
|September 23, 2025
概括
过导管大动脉植入 (TAVI) 是大动脉狭窄的关键治疗方法. 通过apical方法的一个罕见的并发症是左心室伪动脉瘤,强调需要仔细的患者选择和随访.
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:
- 症状性大动脉狭窄症的治疗需要平衡手术风险与跨导管大动脉植入 (TAVI) 的风险.
- 塔维是为老年/高风险患者建立的,利用各种接入路径,包括输,输,输和输.
- 需要心脏外科医生的参与的跨的方法,只适用于其他方法不适合的病例.
研究的目的:
- 报告一个罕见的并发症,经过TAVI.
- 强调程序前评估和长期跟踪对替代TAVI接入路线的重要性.
- 提高人们对潜在并发症的认识,如心室虚动脉瘤.
主要方法:
- 一个87岁的患者的病例报告,患有严重的外周动脉疾病和先前的跨吸管TAVI.
- 在手术后4年,呈现了同步期的表现.
- 诊断成像以确定症状的原因.
主要成果:
- 图像检查显示左心室顶部动脉瘤,可能是之前的跨皮TAVI的次要原因.
- 这种并发症发生在最初手术4年后.
结论:
- 跨吸管TAVI虽然是一种可行的选择,但会带来罕见但严重的并发症的风险,例如腹腔伪动脉瘤.
- 对于接受替代TAVI接入的患者来说,彻底的程序前评估和勤奋的长期监测至关重要.
- 个性化规划和仔细的患者选择对于优化复杂的TAVI病例的结果至关重要.
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