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经锁骨下动脉主动脉瓣植入术中两枚爱德华 Sapien XT 人工瓣膜的心室栓塞

Ventricular Embolization of Two Edwards SAPIEN XT Prosthetic Valves During Trans-Subclavian Aortic Valve Implantation.

作者信息

Baştuğ Serdal, Nabi Aslan Abdullah, Sarı Cenk, Ahmet Kasapkara Hacı, Ayhan Hüseyin, Bozkurt Engin

机构信息

Ataturk Education and Research Hospital, Department of Cardiology.

Yıldırım Beyazıt University, Faculty of Medicine, Department of Cardiology, Ankara, Turkey.

出版信息

J Heart Valve Dis. 2016 Jan;25(1):93-95.

PMID:27989092
Abstract

Transcatheter aortic valve implantation (TAVI) is an alternative treatment method in high-risk patients with severe aortic stenosis (AS). Although TAVI is a minimally invasive procedure it is not free from complications. Here, the case is presented of a 61-year-old woman who underwent trans-subclavian aortic valve implantation to treat severe symptomatic rheumatic AS. The procedure was complicated by the ventricular embolization of two Edwards SAPIEN XT valves during the procedure, but was successfully managed with emergency open-heart surgery.

摘要

经导管主动脉瓣植入术(TAVI)是重度主动脉瓣狭窄(AS)高危患者的一种替代治疗方法。尽管TAVI是一种微创手术,但并非没有并发症。在此,报告一例61岁女性患者,她接受了经锁骨下主动脉瓣植入术以治疗重度有症状的风湿性AS。手术过程中出现两枚爱德华SAPIEN XT瓣膜心室栓塞并发症,但通过急诊心脏直视手术成功处理。

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