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[一例由心内膜电极导致的三尖瓣医源性缺损病例]

[A case of a iatrogenic defect of the tricuspid valve caused by endocardial electrodes].

作者信息

Egorov D F, Sapozhnikov I R, Domashenko A A, Gandina I A, Smirin S D, Vasil'ev S G

出版信息

Arkh Patol. 1990;52(10):61-3.

PMID:2281978
Abstract

One case of a rare complication of the permanent heart electrostimulation is observed among many patients treated with such method for many years. A 77-year-old man having a permanent electrostimulation during 13 years because of a complete atrioventricular heart blockade, developed a defect of the tricuspid valve resulting from two endocardial electrodes. Narrowing of the right atrioventricular aperture and a severe dilatation of the right atrium worsened the circulation deficiency. More frequent use of various methods of the nonfunctioning endocardial electrode elimination is recommended. Transvenous destruction of the fibrous capsule at the end of endocardial electrodes is an efficient method developed by the authors for their elimination.

摘要

在多年来接受这种方法治疗的众多患者中,观察到一例永久性心脏电刺激的罕见并发症。一名77岁男性因完全性房室传导阻滞接受了13年的永久性电刺激治疗,因两根心内膜电极导致三尖瓣缺损。右房室口狭窄和右心房严重扩张使循环功能不全恶化。建议更频繁地使用各种方法消除无功能的心内膜电极。心内膜电极末端纤维囊的经静脉破坏是作者开发的一种有效的消除方法。

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