经心尖入路 TAVI 术后左心室假性动脉瘤。
Pseudoaneurysm of the left ventricle following apical approach TAVI.
机构信息
Department of Cardiovascular Sciences, University of Leicester, Clinical Sciences Wing, Glenfield General Hospital, Groby Road, Leicester, UK, LE3 9QP.
出版信息
J Cardiovasc Magn Reson. 2011 Dec 12;13(1):79. doi: 10.1186/1532-429X-13-79.
Symptomatic severe aortic stenosis carries a two year survival of only 50%. However many patients are unsuitable for conventional aortic valve replacement as they are considered too high risk due to significant co-morbidities. Transcatheter Aortic Valve Implantation (TAVI) offers a viable alternative for this high risk patient group, either by the femoral or apical route. This article reports a case of a pseudoaneurysm of the left ventricle following an apical approach TAVI in an elderly lady with severe aortic stenosis. To our knowledge pseduoaneuryms of the left ventricle have been reported infrequently in the literature and has yet to be established as a recognised complication of TAVI.
症状性严重主动脉瓣狭窄患者的两年生存率仅为 50%。然而，由于存在严重的合并症，许多患者不适合进行传统的主动脉瓣置换术，因为他们被认为风险过高。经导管主动脉瓣植入术（TAVI）为这一高危患者群体提供了可行的替代方案，可以通过股动脉或心尖途径进行。本文报告了一例老年女性严重主动脉瓣狭窄患者行经心尖途径 TAVI 后左心室假性动脉瘤的病例。据我们所知，左心室假性动脉瘤在文献中报道较少，尚未被确立为 TAVI 的一种公认并发症。
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