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紧急经皮腔内间隔心肌消融术治疗外科主动脉瓣置换术后加重的左心室流出道梗阻

Urgent percutaneous transluminal septal myocardial ablation for left ventricular outflow tract obstruction exacerbated after surgical aortic valve replacement.

作者信息

Sasahira Yoshitaka, Yamada Ryotaro, Doi Naofumi, Uemura Shiro

机构信息

Division of Cardiology Kawasaki Medical School Kurashiki Japan.

Department of Cardiology Nara Prefecture Seiwa Medical Center Nara Japan.

出版信息

Clin Case Rep. 2021 Sep 13;9(9):e04789. doi: 10.1002/ccr3.4789. eCollection 2021 Sep.

DOI:10.1002/ccr3.4789
PMID:34532048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8436735/
Abstract

Percutaneous transluminal septal myocardial ablation (PTSMA) is an established procedure for treating symptomatic hypertrophic obstructive cardiomyopathy. We report a case of urgent PTSMA for treating refractory heart failure due to exacerbated obstruction of the left ventricular outflow tract after surgical aortic valvular replacement to treat severe aortic stenosis.

摘要

经皮腔内室间隔心肌消融术(PTSMA)是治疗有症状的肥厚性梗阻性心肌病的既定方法。我们报告了一例紧急PTSMA病例,该病例用于治疗因严重主动脉瓣狭窄接受外科主动脉瓣置换术后左心室流出道梗阻加重而导致的难治性心力衰竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/7acfb3f25d53/CCR3-9-e04789-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/558b028acdf6/CCR3-9-e04789-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/573bae0d98b4/CCR3-9-e04789-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/f2d2095e6722/CCR3-9-e04789-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/7acfb3f25d53/CCR3-9-e04789-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/558b028acdf6/CCR3-9-e04789-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/573bae0d98b4/CCR3-9-e04789-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/f2d2095e6722/CCR3-9-e04789-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1124/8436735/7acfb3f25d53/CCR3-9-e04789-g005.jpg

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本文引用的文献

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Left ventricular outflow tract obstruction following aortic valve replacement: A review of risk factors, mechanism, and management.主动脉瓣置换术后左心室流出道梗阻:危险因素、机制及管理的综述
Ann Card Anaesth. 2019 Jan-Mar;22(1):1-5. doi: 10.4103/aca.ACA_226_17.
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Long-term clinical outcome after alcohol septal ablation for obstructive hypertrophic cardiomyopathy: results from the Euro-ASA registry.酒精室间隔消融治疗梗阻性肥厚型心肌病的长期临床转归:来自欧洲酒精消融登记处的结果。
Eur Heart J. 2016 May 14;37(19):1517-23. doi: 10.1093/eurheartj/ehv693. Epub 2016 Jan 7.
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A case of successful percutaneous transluminal septal myocardial ablation for heart failure due to severe left ventricular outflow obstruction with Mönckeberg's arteriosclerosis, manifested after aortic valvular replacement.
病例报告:主动脉瓣置换术后左心室流出道梗阻导致机械性溶血,经心尖搏动心脏间隔肌切除术缓解。
Front Cardiovasc Med. 2024 Jul 11;11:1410222. doi: 10.3389/fcvm.2024.1410222. eCollection 2024.
Cardiovasc Interv Ther. 2015 Jan;30(1):72-7. doi: 10.1007/s12928-014-0252-x. Epub 2014 Feb 25.
4
Controversies in cardiovascular medicine. Surgical myectomy remains the primary treatment option for severely symptomatic patients with obstructive hypertrophic cardiomyopathy.心血管医学中的争议。对于有症状的梗阻性肥厚型心肌病患者,外科室间隔心肌切除术仍是主要的治疗选择。
Circulation. 2007 Jul 10;116(2):196-206; discussion 206. doi: 10.1161/CIRCULATIONAHA.107.691378.
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Outcome of patients with hypertrophic obstructive cardiomyopathy after percutaneous transluminal septal myocardial ablation and septal myectomy surgery.肥厚性梗阻性心肌病患者经皮腔内室间隔心肌消融术和室间隔肌切除术术后的结局
J Am Coll Cardiol. 2001 Dec;38(7):1994-2000. doi: 10.1016/s0735-1097(01)01656-4.
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Abnormal systolic intraventricular flow velocities after valve replacement for aortic stenosis. Mechanisms, predictive factors, and prognostic significance.主动脉瓣狭窄瓣膜置换术后异常的心室收缩期血流速度。机制、预测因素及预后意义。
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Non-surgical myocardial reduction for hypertrophic obstructive cardiomyopathy.肥厚性梗阻性心肌病的非手术性心肌减容术
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