经导管主动脉瓣置换术后左心房夹层的首例病例。
First case of a left atrial dissection after transcatheter aortic valve replacement.
作者信息
Sardar M Rizwan, Kaddissi Georges I, Sabir Sajjad A, Topalian Simon K
机构信息
Department of Cardiology, Cooper University Hospital, Camden, New Jersey; Department of Interventional Cardiology and Structural heart disease, Rhode Island Hospital, Warren Alpert School of Medicine of Brown University.
Department of Cardiology, Cooper University Hospital, Camden, New Jersey.
出版信息
Cardiovasc Revasc Med. 2016 Jun;17(4):279-81. doi: 10.1016/j.carrev.2016.03.010. Epub 2016 Apr 7.
The left atrial dissection is a very infrequently encountered complication after valve replacement and never seen after Transcatheter aortic valve replacement (TAVR). We present an 84-year-old female, who underwent successful transapical TAVR and consequently developed contained left atrial dissection seen on transesophageal echocardiogram. The patient remained stable throughout the procedure and was monitored in critical care unit with conservative management. Although there is low associated intraop mortality, prompt recognition is paramount with follow-up serial imaging.
左心房夹层是瓣膜置换术后一种非常罕见的并发症，经导管主动脉瓣置换术（TAVR）后从未见过。我们报告一位84岁女性，她成功接受了经心尖TAVR，随后经食管超声心动图显示发生了局限性左心房夹层。患者在整个手术过程中保持稳定，并在重症监护病房接受保守治疗监测。尽管术中相关死亡率较低，但通过后续的系列影像学检查迅速识别至关重要。
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