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三维模型引导下经导管封堵左心室假性动脉瘤:病例系列

3D model-guided transcatheter closure of left ventricular pseudoaneurysm: a case series.

作者信息

Pizzuto Alessandra, Santoro Giuseppe, Baldi Cesare, Celi Simona, Cuman Magdalena, Anees Al Jabri, Berti Sergio, Gasparotti Emanuele, Capellini Katia, Clemente Alberto

机构信息

Pediatric Cardiology and GUCH Unit, Cardiology, National Research Council-Tuscany Region Foundation 'G. Monasterio', Massa.

Invasive Cardiology, 'S. Giovanni di Dio e Ruggi D'Aragona' Hospital, University of Salerno, Salerno.

出版信息

J Cardiovasc Med (Hagerstown). 2021 Dec 1;22(12):e1-e7. doi: 10.2459/JCM.0000000000001114.

Abstract

Left ventricular pseudoaneurysm (LVPsA) is a rare complication of myocardial infarction, cardiac surgery, chest trauma, infection or transcatheter interventions. It may cause arrhythmias, mass effect, thromboembolism and life-threatening rupture. The transcatheter approach is nowadays considered a cost-effective alternative to surgery. In this setting, 3D printing could be an emerging, powerful tool to plan transcatheter closure and choose the best occluding device. This study reports on three cases of complex LVPsA successfully treated by transcatheter device implantation guided by printed 3D heart models.

摘要

左心室假性动脉瘤(LVPsA)是心肌梗死、心脏手术、胸部创伤、感染或经导管介入治疗的一种罕见并发症。它可能导致心律失常、占位效应、血栓栓塞和危及生命的破裂。如今,经导管治疗方法被认为是一种经济有效的手术替代方案。在这种情况下,3D打印可能成为一种新兴的、强大的工具,用于规划经导管封堵并选择最佳封堵装置。本研究报告了3例复杂左心室假性动脉瘤经3D打印心脏模型引导下经导管装置植入成功治疗的病例。

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