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心脏手术期间迟发性医源性冠状静脉窦血肿

Late Iatrogenic Coronary Sinus Hematoma During Cardiac Surgery.

作者信息

Fiocco Alessandro, Dini Martina, Campanella Antonio, Falcetta Giosué, Pascarella Clemente, Cademartiri Filippo, Colli Andrea

机构信息

Cardiac Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.

Department of Radiology, Fondazione Toscana Gabriele Monasterio/CNR, Pisa, Italy.

出版信息

JACC Case Rep. 2022 Jun 1;4(11):649-654. doi: 10.1016/j.jaccas.2022.03.033.

DOI:10.1016/j.jaccas.2022.03.033
PMID:35677792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9168963/
Abstract

Retrograde cardioplegia is commonly used in cardiac surgery to induce cardioplegic arrest. However, this method could be potentially associated with coronary sinus injuries, which can be fatal or extremely difficult to manage. This report describes the conservative management of an iatrogenic coronary sinus hematoma by daily transthoracic echocardiography and weekly computed tomography follow-up. ().

摘要

逆行性心脏停搏常用于心脏手术中诱导心脏停搏。然而，这种方法可能会潜在地导致冠状窦损伤，这可能是致命的或极难处理的。本报告描述了通过每日经胸超声心动图和每周计算机断层扫描随访对医源性冠状窦血肿进行保守治疗的情况。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/fb12ab57db1d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/5f389374241a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/cf3651c74c24/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/fc1970a52777/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/382b25e2348f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/0398d7ee72b8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/fb12ab57db1d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/5f389374241a/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/cf3651c74c24/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/fc1970a52777/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/382b25e2348f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/0398d7ee72b8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9276/9168963/fb12ab57db1d/gr5.jpg

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1
Late Iatrogenic Coronary Sinus Hematoma During Cardiac Surgery.心脏手术期间迟发性医源性冠状静脉窦血肿
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本文引用的文献

1
Does combined antegrade-retrograde cardioplegia have any superiority over antegrade cardioplegia?顺行-逆行联合心脏停搏法相较于顺行心脏停搏法是否具有任何优势？
Heart Lung Circ. 2008 Dec;17(6):475-7. doi: 10.1016/j.hlc.2008.04.009. Epub 2008 Jul 26.
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Images in cardiovascular medicine. Intramural atrial hematoma after catheter ablation for atrial tachyarrhythmias.
Circulation. 2007 May 8;115(18):e446-7. doi: 10.1161/CIRCULATIONAHA.106.684449.
3
Iaterogenic injuries during retrograde delivery of cardioplegia.心脏停搏液逆行灌注期间的医源性损伤。
Cardiovasc Surg. 2000 Aug;8(5):400-3. doi: 10.1016/s0967-2109(00)00029-6.