经皮冠状动脉介入治疗致左心房夹层的外科治疗。
Surgical treatment of left atrial dissection caused by percutaneous coronary intervention.
机构信息
Department of Cardiac Surgery, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Department of Cardiac Surgery, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China. Email:
出版信息
Cardiovasc J Afr. 2022;33(4):220-224. doi: 10.5830/CVJA-2021-045. Epub 2021 Sep 28.
Left atrial dissection (LatD), also known as left atrial intramural haematoma, is a rare condition that requires rapid diagnosis and frequently calls for timely surgical intervention. Diagnosis can be challenging because of a lack of definitive clinical criteria, and a patient's situation can be complicated by co-morbidities, including unstable haemodynamics. We surgically repaired a case of LatD related to percutaneous coronary intervention (PCI). The operation went smoothly, and the patient was discharged one week after the operation. For LatD patients with co-morbidities, especially haemodynamic disorders, active surgical intervention is recommended.
左心房夹层（LatD），又称左心房壁内血肿，是一种罕见的疾病，需要快速诊断，并且常常需要及时的手术干预。由于缺乏明确的临床标准，因此诊断具有挑战性，而且患者的情况可能因合并症而变得复杂，包括血流动力学不稳定。我们对一例与经皮冠状动脉介入治疗（PCI）相关的 LatD 进行了手术修复。手术进行得很顺利，患者在手术后一周出院。对于合并症，特别是血流动力学紊乱的 LatD 患者，建议积极进行手术干预。
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