过渡的RBBB和临时的LBBB在经过过导管大动脉替换后发生
Jiayu Liang1, Suxin Luo2, Bi Huang2
1Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.
JACC. Case reports
|October 18, 2025
概括
在跨导管大动脉置换 (TAVR) 后的过渡性右束分支阻塞 (RBBB) 可能会先于左束分支阻塞 (LBBB). 对于TAVR后出现RBBB的患者,建议进行延长的监测和临时节奏.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 导电障碍是通透管后的大动脉替换 (TAVR) 的常见现象,最常见的是左捆分支阻塞 (LBBB).
- 顺序右束分支块 (RBBB) 接着LBBB是一个非常罕见的并发症后TAVR.
研究的目的:
- 报告一种罕见的过渡性RBBB病例,其次是TAVR后的持续性LBBB.
- 突出RBBB作为LBBB的前身在TAVR后环境中的潜在意义.
主要方法:
- 一个82岁的女性患者的病例报告.
- 在TAVR后对心脏导电异常的临床观察.
主要成果:
- 患者在TAVR后一个小时出现过渡性RBBB.
- 持续的LBBB在手术后一天出现.
- 通过一个月的随访,RBBB和LBBB都完全解决了问题.
结论:
- 在TAVR之后的新发起的RBBB应该被认为是后续LBBB的潜在预兆.
- 在TAVR后RBBB患者中,扩展监测和考虑长期临时心脏起器植入是临床上谨慎的策略.
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