Raja Yogesh, Millane Terri, Degiovanni Joseph V
Dept of Cardiology, University Hospital of Birmingham NHS Foundation Trust, Edgbaston Birmingham B15 2AT, UK.
J Invasive Cardiol. 2012 Jan;24(1):E16-8.
Acquired left ventricle (LV) to left atrial (LA) fistula is a very rare complication following aortic valve replacement (AVR). This can usually be surgically repaired but the risk of re-operation is high due to repeat sternotomy and also due to other comorbidities usually seen in this population. We report a case presenting with recurrent episodes of left ventricular failure 10 years following bioprosthetic aortic valve replacement and who was diagnosed to have a communication between the LV and the LA on transesophageal echocardiography (TEE). This was treated percutaneously with an Amplatzer duct occluder (ADO) device (AGA Medical Corp.) as she was considered to be a high surgical risk.
获得性左心室（LV）至左心房（LA）瘘是主动脉瓣置换术（AVR）后一种非常罕见的并发症。这通常可以通过手术修复，但由于再次开胸以及该人群中常见的其他合并症，再次手术的风险很高。我们报告一例患者，在生物人工主动脉瓣置换术后10年出现反复发作的左心室衰竭，经食管超声心动图（TEE）诊断为左心室与左心房之间存在交通。由于认为她手术风险高，遂采用Amplatzer导管封堵器（ADO）装置（AGA医疗公司）进行经皮治疗。
