晚期发作的心周溢出和装置挤出在左心室附属体封闭植入后
Omar Darwish1, Sai Nikhila Ghanta2, Sandeep Randhawa2
1Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
JACC. Case reports
|November 21, 2025
概括
植入后6个月,从左心房附属体自由壁挤出了一个Watchman装置,导致心脏吸管. 这一案例突出了Watchman设备的潜在并发症,强调了植入设备的患者需要保持警的必要性.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 干预心脏病学 干预心脏病学
背景情况:
- 一名患有持续性心房的患者因口服抗凝药的禁忌而接受了Watchman装置.
- 该患者有多次跌倒的病史,需要采取另一种预防中风的策略.
研究的目的:
- 报告Watchman装置植入的罕见并发症:左心房附属体的挤出.
- 为了突出与左心房附属器关闭装置相关的延迟并发症的可能性.
主要方法:
- 一名74岁的男性接受了Watchman装置植入,用于预防中风.
- 植入后六个月,经食道心声图显示了设备挤出,左心房附属体血栓和心周溢出.
- 进行了手术干预,以移除设备并治疗并发症.
主要成果:
- 在植入后6个月,Watchman装置通过左心房附属体自由壁挤出.
- 确定了显著的心周溢出和血栓形成.
- 患者需要手术切除设备和左心房附属体.
结论:
- 观察器设备挤出是一种罕见但严重的并发症,可以在植入后几个月发生.
- 临床医生应考虑与Watchman设备相关的并发症,包括心脏吸管,在出现相关症状的患者.
- 与Watchman设备相关的并发症可以随时出现,这强调了长期监测的重要性.
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