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裸金属支架从右髂静脉迁移至右肺动脉。

Migration of Bare-Metal Stent Placed in the Right Iliac Vein Into the Right Pulmonary Artery.

机构信息

Department of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, Sofia, Bulgaria.

Department of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, Sofia, Bulgaria.

出版信息

Ann Thorac Surg. 2020 Sep;110(3):e205-e207. doi: 10.1016/j.athoracsur.2019.12.087. Epub 2020 Feb 22.

Abstract

Stent migration is a rare event with potentially serious complications including cardiac arrhythmias and heart failure. We report a case of migration of arterial stent placed in the right iliac vein into the right pulmonary artery; it was diagnosed there and subsequently not removed for at least 3 years. Despite reports in the literature for the removal of migrated stents by minimally invasive interventional methods, in our case, that was not possible because of the long period during which the foreign body was in the right pulmonary artery and the proximal partial occlusion of organized mural thrombus.

摘要

支架迁移是一种罕见的事件,可能会导致严重的并发症,包括心律失常和心力衰竭。我们报告了一例动脉支架从右髂静脉迁移到右肺动脉的病例;它在那里被诊断出来,随后至少 3 年没有被取出。尽管文献中有报道称可以通过微创介入方法取出迁移的支架,但在我们的病例中,由于异物在右肺动脉内的时间较长,以及近端部分被已机化的血栓堵塞,无法进行这种操作。

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