使用爱德华SAPIEN 3经股动脉经导管主动脉瓣置换术后的左向右分流
A Left-to-Right Shunt After Transfemoral TAVR Using Edwards SAPIEN 3.
作者信息
Steffen Julius, Köhler Anton, Schwarz Florian, Sadoni Sebastian, Hagl Christian, Massberg Steffen, Greif Martin
机构信息
Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany. Electrronic correspondence:
Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany.
出版信息
J Heart Valve Dis. 2016 Jul;25(4):491-493.
Transcatheter aortic valve replacement (TAVR) is used for the treatment of aortic stenosis (AS). Besides major bleeding, conduction blocks, stroke or atrial fibrillation, complications include cardiac perforation with possible left-to-right-shunts. Herein is reported the sixth case of a left-to-right shunt in an 87-year-old man who underwent TAVR using a 29 mm Edwards SAPIEN S3 prosthesis to treat AS. Soon after the procedure, a small channel evolving from the right coronary cusp could be detected on echocardiography. The patient was managed medically.
经导管主动脉瓣置换术（TAVR）用于治疗主动脉瓣狭窄（AS）。除了大出血、传导阻滞、中风或心房颤动外，并发症还包括心脏穿孔并可能伴有左向右分流。本文报道了第6例87岁男性患者在接受TAVR治疗AS时使用29mm爱德华SAPIEN S3人工瓣膜后出现左向右分流的病例。术后不久，超声心动图检查发现右冠状动脉瓣叶出现一个小通道。该患者接受了药物治疗。
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