Kukucka Marian, Pasic Miralem, Dreysse Stephan, Hetzer Roland
Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Interact Cardiovasc Thorac Surg. 2011 Jan;12(1):57-60. doi: 10.1510/icvts.2010.252866. Epub 2010 Oct 22.
We report on an obstruction of the left main coronary artery which occurred after completion of an uneventful transapical aortic valve implantation (TAVI) procedure. This delayed subtotal coronary obstruction was detected by routine final transesophageal echocardiographic examination. Emergency implantation of a coronary stent eliminated myocardial ischemia. This case demonstrated that coronary artery obstruction can occur not only during the TAVI procedure but also some time later. This finding reinforces the idea that these patients must also be carefully evaluated in the early post-procedure period.
我们报告了一例在经心尖主动脉瓣植入术（TAVI）顺利完成后发生的左主干冠状动脉阻塞病例。这种延迟性的冠状动脉次全阻塞是通过常规的最后经食管超声心动图检查发现的。紧急植入冠状动脉支架消除了心肌缺血。该病例表明，冠状动脉阻塞不仅可发生在TAVI手术期间，也可在术后一段时间出现。这一发现强化了这样一种观点，即这些患者在术后早期也必须进行仔细评估。
