Astarci Parla, Desiron Quentin, Glineur David, El Khoury Gebrine
Department of Cardiovascular Surgery, Saint-Luc University Hospital, Avenue Hippocrate 10/6107, 1200 Brussels, Belgium.
Interact Cardiovasc Thorac Surg. 2011 Jul;13(1):1-2. doi: 10.1510/icvts.2011.267757. Epub 2011 Apr 11.
Prosthesis embolization represents a severe complication following transcatheter aortic valve implantation (TAVI). We describe a case of ventricular embolization of the Edwards Sapien valve following transapical TAVI. The prosthesis was extracted successfully using the same transapical access. This approach obviated the need for conversion to a median sternotomy to explant the embolized valve.
人工瓣膜栓塞是经导管主动脉瓣植入术(TAVI)后的一种严重并发症。我们描述了一例经心尖TAVI术后爱德华兹Sapien瓣膜发生心室栓塞的病例。使用相同的心尖入路成功取出了人工瓣膜。这种方法避免了为取出栓塞瓣膜而转为正中胸骨切开术的需要。