经导管主动脉瓣植入术后，局限性主动脉瓣环破裂导致左主冠状动脉受到外部压迫。
Extrinsic compression of the left main coronary artery by a contained aortic annular rupture following trans-catheter aortic valve implantation.
作者信息
Erez Aharon, Barbash Israel, Spiegelstein Dan, Kogan Alexander, Hamdan Ashraf, Shinfeld Amichai, Preisman Sergey, Segev Amit
机构信息
The Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
The Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Cardiovasc Revasc Med. 2015 Jul-Aug;16(5):313-6. doi: 10.1016/j.carrev.2015.05.005. Epub 2015 May 21.
We present a case of an 83-year-old female who suffered from annular rupture with contained hematoma immediately after trans-apical implantation of balloon-expandable Sapien valve. The patient developed acute cardiogenic shock which resulted from an extrinsic compression of the left main coronary artery. We report the successful management of this complication.
我们报告一例83岁女性患者，在经心尖植入球囊扩张式Sapien瓣膜后立即发生伴有局限性血肿的环形破裂。患者因左主干冠状动脉受到外部压迫而出现急性心源性休克。我们报道了该并发症的成功处理。
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