二尖瓣球囊瓣膜成形术期间发生致命性左心室穿孔。

Fatal left ventricular perforation during mitral balloon valvoplasty.

作者信息

Robertson J M, de Virgilio C, French W, Ruiz C, Nelson R J

机构信息

Department of Surgery, Harbor-University of California, Los Angeles Medical Center, Torrance.

出版信息

Ann Thorac Surg. 1990 May;49(5):819-21. doi: 10.1016/0003-4975(90)90034-4.

DOI:10.1016/0003-4975(90)90034-4

PMID:2339941

Abstract

Percutaneous balloon dilation of left-sided cardiac valves is being performed with increasing frequency. We describe and document the mechanism of injury of left ventricular perforation during mitral balloon valvoplasty. Despite a technically successful surgical repair with hemodynamic restoration, the patient was brain dead. We emphasize (1) the risk and the potentially catastrophic nature of left ventricular perforation during mitral balloon valvoplasty and (2) the need for surgical standby and rapid operative decompression for this complication.

摘要

经皮左侧心脏瓣膜球囊扩张术的实施频率正在增加。我们描述并记录了二尖瓣球囊瓣膜成形术期间左心室穿孔的损伤机制。尽管手术修复技术成功且血流动力学得以恢复，但患者脑死亡。我们强调：（1）二尖瓣球囊瓣膜成形术期间左心室穿孔的风险及潜在灾难性；（2）针对该并发症需要手术待命及快速手术减压。