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在取过程中发生的乳头肌肉断裂后,突发的三角透管边缘到边缘修复.

Jaejoon Jang1, Amr Gamal2, Asim N Cheema1

  • 1Department of Cardiac Health, Southlake Health, Newmarket, Canada.

JACC. Case reports
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概括

透静提取很少会导致三管 (TV) 损伤. 一名患有取过程中乳头肌肉破裂的乳头电视传单的患者成功地接受了跨导管边缘到边缘修复.

关键词:
乳头肌的肌肉 乳头肌的肌肉三管门的三管门门维修 门维修 门维修

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科学领域:

  • 心脏病学 心脏病学
  • 干预心脏病学 干预心脏病学
  • 心脏外科手术 心脏外科手术

背景情况:

  • 通过静脉取,虽然很常见,但存在血管和三管 (TV) 损伤的风险.
  • 阳性电视损伤可能导致严重的并发症,包括乳头肌肉破裂和显著的反.

研究的目的:

  • 报告第一个在通过静脉取过程中肌肉破裂的乳头肌肉破裂的二次病例.
  • 为了突出这一并发症的成功管理,通过跨导管边缘到边缘修复.

主要方法:

  • 一名68岁的患有扩张性心肌病的妇女接受了针对设备感染的输静脉取.
  • 由于前面的乳头肌肉破裂,患者出现了急性血液动力学不稳定,导致前面的电视传单和严重的三回.
  • 在48小时内成功进行了电视的紧急跨导管边缘到边缘修复.

主要成果:

  • 透导管边缘到边缘的修复成功地解决了由形电视传单引起的严重三角管吐.
  • 通过皮肤干预后,患者的血液动力学不稳定性得到解决.

结论:

  • 乳头肌肉破裂的二次性是通过静脉取的罕见但至关重要的并发症.
  • 新出现的跨导管端到端修复是一种可行和有效的治疗选择,用于治疗阴性电视损伤,特别是在危急病患者或不可手术的患者.