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在既往对侧自限性膈神经麻痹很久之后，再次进行肺静脉隔离时发生左侧膈神经损伤。

Left-sided phrenic nerve injury during redo pulmonary vein isolation long after a previous contralateral self-limiting phrenic nerve palsy.

作者信息

Kis Zsuzsanna, Noten Anna Maria Elisabeth, Wijchers Sip, Bhagwandien Rohit, Szili-Torok Tamas

机构信息

Department of Cardiology, Erasmus MC University Medical Center Rotterdam The Netherlands.

出版信息

Clin Case Rep. 2019 Jun 11;7(7):1391-1394. doi: 10.1002/ccr3.2199. eCollection 2019 Jul.

DOI:10.1002/ccr3.2199
PMID:31360495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6637336/
Abstract

We present a unique case of a left-sided phrenic nerve injury (PNI) long after a previous contralateral PNI following pulmonary vein isolation (PVI) procedures. Firstly, right-sided PNI after cryoballoon ablation, and secondly a left-sided PNI was observed following a redo PVI extended with box-lesion and left atrial appendage isolation (LAAI).

摘要

我们报告了一例独特的病例，在先前对侧肺静脉隔离（PVI）手术后很长时间出现左侧膈神经损伤（PNI）。首先，冷冻球囊消融后出现右侧PNI，其次，在采用盒状病变和左心耳隔离（LAAI）扩展的再次PVI后观察到左侧PNI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b3c/6637336/be3b45979a36/CCR3-7-1391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b3c/6637336/be3b45979a36/CCR3-7-1391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b3c/6637336/be3b45979a36/CCR3-7-1391-g001.jpg

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Left-sided phrenic nerve injury during redo pulmonary vein isolation long after a previous contralateral self-limiting phrenic nerve palsy.在既往对侧自限性膈神经麻痹很久之后，再次进行肺静脉隔离时发生左侧膈神经损伤。
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本文引用的文献

1
Reply: Will LAA Isolation Increase Thrombosis and Stroke When Treating Persistent and Long-Standing Persistent AF?回复：在治疗持续性房颤和长期持续性房颤时，左心耳隔离术会增加血栓形成和中风的风险吗？
J Am Coll Cardiol. 2017 May 30;69(21):2678-2679. doi: 10.1016/j.jacc.2017.03.577.
2
Will LAA Isolation Increase Thrombosis and Stroke When Treating Persistent and Long-Standing Persistent AF?在治疗持续性房颤和长期持续性房颤时，左心耳隔离会增加血栓形成和中风的风险吗？
J Am Coll Cardiol. 2017 May 30;69(21):2677. doi: 10.1016/j.jacc.2017.01.075.
3
Unexpectedly High Incidence of Stroke and Left Atrial Appendage Thrombus Formation After Electrical Isolation of the Left Atrial Appendage for the Treatment of Atrial Tachyarrhythmias.
出乎意料的是，在电隔离左心耳以治疗房性心动过速后，中风和左心耳血栓形成的发生率很高。
Circ Arrhythm Electrophysiol. 2016 May;9(5):e003461. doi: 10.1161/CIRCEP.115.003461.
4
Mapping of the left-sided phrenic nerve course in patients undergoing left atrial catheter ablations.接受左心房导管消融术患者左侧膈神经走行的映射。
Pacing Clin Electrophysiol. 2014 Sep;37(9):1141-8. doi: 10.1111/pace.12422. Epub 2014 May 16.
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Left phrenic nerve injury after cryoballoon ablation of the pulmonary veins.肺静脉冷冻球囊消融术后左侧膈神经损伤
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6
Anatomic evaluation of the left phrenic nerve relevant to epicardial and endocardial catheter ablation: implications for phrenic nerve injury.与心外膜和心内膜导管消融相关的左膈神经的解剖学评估：对膈神经损伤的影响。
Heart Rhythm. 2009 Jun;6(6):764-8. doi: 10.1016/j.hrthm.2009.02.029. Epub 2009 Feb 24.
7
Phrenic nerve injury after atrial fibrillation catheter ablation: characterization and outcome in a multicenter study.心房颤动导管消融术后膈神经损伤：一项多中心研究的特征与结局
J Am Coll Cardiol. 2006 Jun 20;47(12):2498-503. doi: 10.1016/j.jacc.2006.02.050.
8
Efficacy and safety of circumferential pulmonary vein isolation using a novel cryothermal balloon ablation system.使用新型冷冻球囊消融系统进行环肺静脉隔离的疗效与安全性
J Am Coll Cardiol. 2005 Nov 15;46(10):1902-12. doi: 10.1016/j.jacc.2005.07.046. Epub 2005 Oct 20.
9
Pulmonary vein isolation using transvenous catheter cryoablation for treatment of atrial fibrillation without risk of pulmonary vein stenosis.经静脉导管冷冻消融肺静脉隔离术治疗心房颤动，无肺静脉狭窄风险。
J Am Coll Cardiol. 2003 Aug 20;42(4):752-8. doi: 10.1016/s0735-1097(03)00788-5.
10
First human experience with pulmonary vein isolation using a through-the-balloon circumferential ultrasound ablation system for recurrent atrial fibrillation.首例使用经球囊环形超声消融系统治疗复发性心房颤动的肺静脉隔离人体经验。
Circulation. 2000 Oct 17;102(16):1879-82. doi: 10.1161/01.cir.102.16.1879.