曾接受改良Bentall手术患者经皮冠状动脉介入治疗期间的冠状动脉穿孔

Coronary Artery Perforation During Percutaneous Coronary Intervention in a Patient with a Prior Modified Bentall Procedure.

作者信息

Tsuji Masaki, Kodera Satoshi, Oshima Tsukasa, Uehara Masae, Kiyosue Arihiro, Ando Jiro, Watanabe Masafumi, Yamauchi Haruo, Ono Minoru, Komuro Issei

机构信息

Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo.

Department of Cardiac Surgery, Graduate School of Medicine, The University of Tokyo.

出版信息

Int Heart J. 2018 Jul 31;59(4):848-853. doi: 10.1536/ihj.17-357. Epub 2018 May 23.

DOI:10.1536/ihj.17-357

PMID:29794384

Abstract

The Bentall procedure is a surgical technique for an ascending aortic or aortic aneurysm in combination with valve disease. A well-known uncommon complication of after the Bentall procedure is coronary artery stenosis related to coronary anastomosis of an interposed graft. We report on a 73-year-old woman who presented with heart failure secondary to graft stenosis of the right coronary artery 6 months after undergoing a modified Bentall procedure. Percutaneous coronary intervention (PCI) was performed and type II coronary artery perforation occurred during PCI of the right coronary artery. We used a perfusion balloon and achieved hemostasis successfully. We report a case of coronary artery perforation that was treated with perfusion balloon during PCI in a patient with a prior modified Bentall procedure. In addition, we present a case series of PCI for ostial coronary stenosis after the Bentall procedure.

摘要

Bentall手术是一种用于治疗升主动脉瘤或主动脉瘤合并瓣膜疾病的外科技术。Bentall手术后一种众所周知的罕见并发症是与移植血管冠状动脉吻合相关的冠状动脉狭窄。我们报告了一名73岁女性，她在接受改良Bentall手术后6个月因右冠状动脉移植血管狭窄继发心力衰竭。进行了经皮冠状动脉介入治疗（PCI），在右冠状动脉PCI期间发生了II型冠状动脉穿孔。我们使用了灌注球囊并成功实现了止血。我们报告了一例在先前接受改良Bentall手术的患者中，PCI期间用灌注球囊治疗冠状动脉穿孔的病例。此外，我们还展示了一组Bentall手术后冠状动脉开口狭窄的PCI病例系列。