[心脏手术后五年未被发现的迁移临时节奏电线的食道穿孔]
Kumiko Sone1, Masaaki Koide, Yoshifumi Kunii
1Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|December 9, 2025
概括
一个保留的临时表心节奏电线迁移并透到食道,需要内镜去除. 持续的成像监测对于保持节拍线的患者至关重要,以防止严重的并发症.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 医疗器械并发症 医疗器械并发症
背景情况:
- 在心脏外科手术后使用临时表皮节奏电线 (TEPW).
- 保留TEPW可以导致严重的并发症.
- 这一案例突出了保留TEPW的罕见并发症.
研究的目的:
- 报告一个被保留的TEPW透食道的病例.
- 强调将TEPW留在现场的潜在危险.
- 建议对保留的TEPW进行警监测.
主要方法:
- 一名58岁的男性患者在前列动脉置换后保留了TEPW.
- 内镜检查以诊断TEPW迁移.
- 迁移的TEPW的内镜去除.
主要成果:
- 留下的TEPW迁移并透到患者的食道.
- 尽管服用了抗生素,但C反应性蛋白 (CRP) 水平的升高仍然存在.
- 成功地通过内镜去除了TEPW.
结论:
- 保留的TEPW存在严重并发症的风险,包括食道透.
- 及时诊断和切除是非常重要的.
- 建议对保留TEPW的患者进行定期成像监测,以监测迁移并防止致命结果.
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