经皮穿透性左心房附属体封闭后非常延迟的出血性心周溢出
Nawaf Alhabdan1, Rafey Feroze2, Marco Frazzetto2
1Department of Medicine, University Hospitals, Cleveland, OH, United States of America.
Journal of cardiology cases
|February 4, 2026
概括
在左心房附属体封闭后延迟心周溢出,这是一个严重的并发症,可能会在几个月后发生. 这一案例突出显示了用皮质类固醇成功治疗出血性输液,这表明延迟输液的抗炎疗法.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 干预程序 干预程序
背景情况:
- 周心输出是穿皮左心房附属体封闭 (LAAO) 的已知并发症.
- 虽然急性溢出往往与宏观穿孔有关,但延迟溢出的机制和管理仍然不太了解.
- 延迟排泄可能导致心血管和心周炎症,带来重大风险.
研究的目的:
- 在LAAO之后报告延迟出血性心周溢出病例.
- 为了调查延迟排泄的潜在原因,可能是微孔.
- 为了突出这种病例的成功管理与皮质类固醇.
主要方法:
- 使用了个案研究方法.
- 患者在LAAO.后近六个月出现了症状.
- 治疗涉及皮质类固醇治疗.
主要成果:
- 在LAAO六个月后诊断出出血性心周溢血.
- 输出被成功地用皮质类固醇治疗.
- 这表明抗炎疗法在治疗延迟排泄中可能发挥作用.
结论:
- 在LAAO之后延迟的心周溢出可能来自微孔穿孔.
- 皮质类固醇可以作为LAAO后出血性心周溢血的有效治疗方法.
- 抗炎疗法可能有助于解决这些出血并预防不良后果.
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