Department for Pediatric Cardiology and Pediatric Intensive Care, LMU - Campus Großhadern, Ludwig Maximilians University, Munich, Germany.
Department for Pediatric Cardiology, Center for Congenital Heart Defects Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Catheter Cardiovasc Interv. 2018 Sep 1;92(3):522-525. doi: 10.1002/ccd.27644. Epub 2018 May 18.
Despite the increasing use of percutaenous valves, little is known about valve performance after external chest compression. We report a case of a compressed pulmonary Edwards Sapien® XT valve after resuscitation. With the patient on ECMO, successful redilatation was performed with unimpaired postprocedural valve function. We aim to increase the awareness for valve distortion after external chest compression with increasing numbers of transcatheter valvulations. We suggest that immediate re-evaluation of the implanted device via biplane fluoroscopy is mandatory after resuscitation in such cases.
尽管经皮瓣膜的应用日益增多,但对于体外心脏按压后瓣膜性能知之甚少。我们报告了 1 例体外心脏按压后可回收的 Edwards Sapien XT 瓣叶压缩的病例。在 ECMO 支持下,对患者行球囊扩张术,术后瓣膜功能无明显受损。我们旨在提高对经导管瓣膜植入数量增加后体外心脏按压导致瓣膜变形的认识。我们建议在这种情况下,患者复苏后应立即通过双平面透视进行植入设备的重新评估。