Nombela-Franco Luis, Goicolea Javier, Oteo Juan F
Department of Cardiology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
J Invasive Cardiol. 2012 Sep;24(9):463-4.
The recent development of transcatheter aortic valve implantation (TAVI) for patients with severe aortic stenosis (AS) offers a feasible option for high-risk surgical patients. However, several complications are specifically related to this technique. The present case describes a novel complication associated with TAVI, a severe paravalvular leak related to "stretch-induced" peri-aortic hematoma. The possible mechanisms of this complication, as well as its potential solutions, are discussed.
经导管主动脉瓣植入术（TAVI）在重度主动脉瓣狭窄（AS）患者中的最新进展为高风险手术患者提供了一种可行的选择。然而，该技术存在一些特定的并发症。本病例描述了一种与TAVI相关的新型并发症，即与“拉伸诱导”的主动脉周围血肿相关的严重瓣周漏。本文讨论了该并发症的可能机制及其潜在的解决方案。
