主动脉瓣置换术后左心室流出道假性动脉瘤
Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve Replacement.
作者信息
Shariff Masood A, Martingano Daniel, Khan Usman, Goyal Nikhil, Sharma Raman, Rizvi Syed B, Motivala Apurva, Asgarian Kourosh T, Nabagiez John P
机构信息
Department of Cardiothoracic Surgery, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.
Department of Radiology, Staten Island University Hospital - Northwell Health, Staten Island, New York, USA.
出版信息
Aorta (Stamford). 2015 Oct 1;3(5):167-71. doi: 10.12945/j.aorta.2015.15.001. eCollection 2015 Oct.
Abstract
Left ventricular outflow tract pseudoaneurysm is an uncommon complication following aortic valve replacement (AVR), occurring most frequently secondary to endocarditis. We present a case of a 47-year-old female with a history of intravenous drug abuse and a past surgical history of two AVRs (2001 and 2009 with aortic root replacement for endocarditis) who presented with symptoms of lower extremity weakness. Subsequent radiologic imaging revealed the presence of a left ventricular outflow tract pseudoaneurysm, which was surgically managed with a homologous conduit.
摘要
左心室流出道假性动脉瘤是主动脉瓣置换术（AVR）后一种罕见的并发症，最常见于感染性心内膜炎继发。我们报告一例47岁女性，有静脉药物滥用史，既往有两次主动脉瓣置换术手术史（2001年和2009年因感染性心内膜炎行主动脉根部置换术），出现下肢无力症状。随后的影像学检查显示存在左心室流出道假性动脉瘤，通过使用同种异体管道进行手术治疗。
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