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经皮肺动脉瓣植入术后因外在冠状动脉受压而行急诊手术。

Emergency surgery for extrinsic coronary compression after percutaneous pulmonary valve implantation.

作者信息

Mauri Lucia, Frigiola Alessandro, Butera Gianfranco

机构信息

Paediatric Cardiology and Cardiac Surgery - IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.

出版信息

Cardiol Young. 2013 Jun;23(3):463-5. doi: 10.1017/S1047951112001187. Epub 2012 Nov 26.

DOI:10.1017/S1047951112001187
PMID:23176808
Abstract

Coronary artery compression is a rare and potentially fatal complication after percutaneous pulmonary valve implantation. We report on a case of an acute antero-septal non-ST myocardial infarction secondary to the partial laceration of the conduit and the creation of a thrombus giving an extrinsic compression of left anterior descendent coronary artery after Melody valve implantation.

摘要

冠状动脉受压是经皮肺动脉瓣植入术后一种罕见且可能致命的并发症。我们报告了一例在植入美敦力Melody瓣膜后，由于管道部分撕裂及形成血栓导致左前降支冠状动脉外部受压，进而引发急性前间隔非ST段心肌梗死的病例。

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