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原位心脏移植术后下腔静脉梗阻的综合治疗

Hybrid treatment of inferior vena cava obstruction after orthotopic heart transplantation.

作者信息

Santise Gianluca, D'Ancona Giuseppe, Baglini Roberto, Pilato Michele

机构信息

Department of Cardiothoracic Surgery, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), University of Pittsburgh Medical Center, Via Tricomi 1, 90127 Palermo, Italy.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):817-9. doi: 10.1510/icvts.2010.245415. Epub 2010 Sep 17.

DOI:10.1510/icvts.2010.245415
PMID:20851874
Abstract

Caval stenosis with subsequent thrombosis may occur after orthotopic heart transplantation (HT). Management of this complication may include a percutaneous approach or an open surgical one. Here, we report the case of an obstruction and severe thrombosis of the inferior vena cava, following orthotopic HT, that was managed in a hybrid fashion with surgical venous thrombectomy, inferior vena cava stenting, and atrio-caval patch-plasty.

摘要

原位心脏移植（HT）后可能发生腔静脉狭窄并继发血栓形成。这种并发症的处理方法可能包括经皮介入或开放手术。在此，我们报告一例原位心脏移植后下腔静脉梗阻并严重血栓形成的病例，该病例采用手术静脉血栓切除术、下腔静脉支架置入术和心房 - 腔静脉补片成形术的联合方式进行处理。

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