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完全性房室传导阻滞:MitraClip植入术的一种罕见并发症。

Complete Atrioventricular Block: A Rare Complication of MitraClip Implantation.

作者信息

Erinne Ikenna, Theertham Arjun K, Maleki Kataneh, Chen Chunguang, Russo Mark, Hakeem Abdul

机构信息

Division of Cardiovascular Diseases and Cardiovascular Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Department of Cardiology, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.

出版信息

JACC Case Rep. 2021 May 19;3(5):772-777. doi: 10.1016/j.jaccas.2021.02.044. eCollection 2021 May.

Abstract

MitraClip (Abbott Vascular, Inc., Santa Clara, California) has emerged as a viable alternative for treatment of symptomatic severe mitral regurgitation. Conduction abnormalities are not a known complication of this procedure. We report a case of complete heart block without a ventricular escape rhythm immediately following MitraClip placement near the medial leaflets (A3-P3) in a patient with underlying trifascicular block. ().

摘要

MitraClip(雅培血管公司,加利福尼亚州圣克拉拉)已成为治疗有症状的严重二尖瓣反流的一种可行替代方法。传导异常并非该手术已知的并发症。我们报告一例在患有潜在三分支阻滞的患者中,于二尖瓣内侧瓣叶(A3 - P3)附近置入MitraClip后即刻发生完全性心脏传导阻滞且无室性逸搏心律的病例。()

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