不要轻信影像学检查：经主动脉覆膜支架行主动脉瓣置换术后出现坏死性肠病
Don't Trust the Imaging: Necrotic Bowel Following Transcatheter Aortic Valve Replacement Through Aortic Stent Graft.
作者信息
Abu-Much Arsalan, Barbash Israel M, Guetta Victor, Segev Amit, Fefer Paul, Matetzky Shlomi, Nissan Noam, Maor Elad
机构信息
Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel.
Sackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel.
出版信息
JACC Case Rep. 2020 Dec 16;2(15):2339-2343. doi: 10.1016/j.jaccas.2020.10.023. eCollection 2020 Dec.
Mesenteric ischemia is a rare but lethal complication of transcatheter aortic valve replacement (TAVR). We present a challenging case of an 80-year-old man who had abdominal pain few hours following TAVR. Repeated abdominal and pelvic imaging showed no vascular obstruction, but exploratory laparoscopy revealed a necrotic bowel. ().
肠系膜缺血是经导管主动脉瓣置换术（TAVR）罕见但致命的并发症。我们报告了一例具有挑战性的病例，一名80岁男性在TAVR术后数小时出现腹痛。反复的腹部和盆腔影像学检查未显示血管阻塞，但腹腔镜探查发现一段肠管坏死。（）
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