Maimonides Medical Center, Brooklyn, NY, USA.
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620974220. doi: 10.1177/2324709620974220.
Venous stent migration to the cardiopulmonary system is a rare but serious complication. Cardiopulmonary involvement has various presentations such as valvulopathy, acute heart failure, arrhythmias, endocarditis, and tamponade. The presenting symptoms depend on the eventual location of the stent in the heart or lungs, size of the stent, and valve involvement. Extracardiac dislodgement can be managed by catheter-directed extraction or proper deployment within the containing vessel or surgical extraction. Intracardiac stents may require open surgery to prevent life-threatening complications. We present an asymptomatic patient with stent migration that lead to severe tricuspid regurgitation and required tricuspid valve replacement.
静脉支架迁移到心肺系统是一种罕见但严重的并发症。心肺受累表现多样,如瓣膜病、急性心力衰竭、心律失常、心内膜炎和心脏压塞。临床表现取决于支架在心内或肺内的最终位置、支架的大小和瓣膜受累情况。心脏外支架移位可通过导管引导的取出或在包含血管内适当展开或外科取出来处理。心脏内支架可能需要开胸手术以防止危及生命的并发症。我们介绍了一位无症状的支架迁移患者,导致严重的三尖瓣反流,需要进行三尖瓣置换。