经导管主动脉瓣植入术期间主动脉瓣环破裂：无法手术患者的治疗困境
Aortic Annulus Rupture During TAVI: A Therapeutic Dilemma in the Inoperable Patient.
作者信息
Hiltrop Nick, Adriaenssens Tom, Dymarkowski Steven, Herijgers Paul, Dubois Christophe
出版信息
J Heart Valve Dis. 2015 Jul;24(4):436-8.
PMID:26897812
Abstract
Aortic annulus rupture is a rare complication of transcatheter aortic valve implantation (TAVI), related to relative valve oversizing or eccentric calcification. A case is reported of periprocedural cardiac tamponade caused by aortic annulus rupture. Optimal management of periprocedural aortic annulus rupture and pseudoaneurysm formation in patients considered too frail for surgery should be discussed in a multidisciplinary setting.
摘要
主动脉瓣环破裂是经导管主动脉瓣植入术（TAVI）的一种罕见并发症，与瓣膜相对过大或偏心钙化有关。本文报告了一例因主动脉瓣环破裂导致围手术期心脏压塞的病例。对于因身体过于虚弱而无法进行手术的患者，应在多学科环境中讨论围手术期主动脉瓣环破裂和假性动脉瘤形成的最佳处理方法。
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