经导管主动脉瓣植入术后室间隔破裂：手术及围手术期管理

Interventricular septal rupture after transcatheter aortic valve implantation: surgical and perioperative management.

作者信息

Garrido Jose M, Ferreiro Andrea, Samaranch Noemí, Salido Luisa, García-Andrade Ignacio

机构信息

Department of Cardiac Surgery, European University of Madrid, Ramón y Cajal Hospital, Madrid, Spain.

出版信息

J Card Surg. 2014 Jul;29(4):478-81. doi: 10.1111/jocs.12362. Epub 2014 May 26.

DOI:10.1111/jocs.12362

PMID:24861676

Abstract

Transcatheter aortic valve implantation (TAVI) is associated with various complications, usually related to valve positioning or prosthesis delivery. We report the rare complication of an iatrogenic ventricular septal defect, secondary to aortic annulus disruption after TAVI-transfemoral procedure, generating a significant left-to-right shunt and cardiac failure. Open surgical procedures under cardiopulmonary bypass remain the best option for this lethal complication.

摘要

经导管主动脉瓣植入术（TAVI）与多种并发症相关，通常与瓣膜定位或假体输送有关。我们报告了一种罕见的并发症，即经股动脉TAVI术后因主动脉瓣环破裂继发医源性室间隔缺损，导致显著的左向右分流和心力衰竭。体外循环下的开放手术仍然是这种致命并发症的最佳选择。