经二尖瓣置换术后的左心室假性动脉瘤的经导管封堵。
Transcatheter Closure of Left Ventricular Pseudoaneurysm After Mitral Valve Replacement.
机构信息
Department of Cardiovascular Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Department of Cardiovascular Surgery, Istanbul Taksim Training and Research Hospital, Istanbul, Turkey.
出版信息
Ann Thorac Surg. 2020 Aug;110(2):e123-e125. doi: 10.1016/j.athoracsur.2019.12.019. Epub 2020 Jan 24.
Left ventricular pseudoaneurysm (LVPA) is a rare but lethal complication of mitral valve replacement (MVR) or myocardial infarction. Early correction is necessary for patients with extensive and expanding LVPA. We report a transcatheter closure of LVPA after MVR. A 63-year-old woman presented with an LVPA 2 months after MVR. The repeated computed tomographic scan and transthoracic echocardiography showed enhancement of pseudoaneurysm. The LVPA was closed successfully with Amplatzer Vascular Plug using a transcatheter approach.
左心室假性动脉瘤（LVPA）是二尖瓣置换术（MVR）或心肌梗死的罕见但致命的并发症。对于广泛和不断扩大的 LVPA 患者，早期矫正非常必要。我们报告了 MVR 后经导管闭合 LVPA 的病例。一名 63 岁女性在 MVR 后 2 个月出现 LVPA。反复的计算机断层扫描和经胸超声心动图显示假性动脉瘤增强。经导管途径使用 Amplatzer 血管塞成功闭合了 LVPA。
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