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左心耳封堵术后食管血肿的治疗:一例报告

Treatment of Esophageal Hematoma After Left Atrial Appendage Occlusion: A Case Report.

作者信息

Cheng Chaodi, Zhou Yang, Wang Yanjiang, Shi Liang, Tian Ying, Liu Xingpeng

机构信息

Heart Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

出版信息

Front Cardiovasc Med. 2022 Jun 23;9:941924. doi: 10.3389/fcvm.2022.941924. eCollection 2022.

Abstract

Left atrial appendage occlusion (LAAO) is an alternative to oral anticoagulation therapy in patients with atrial fibrillation who are at high risk for bleeding and thromboembolic events. Transesophageal echocardiography (TEE) is the standard modality for intraprocedural imaging during LAAO. We report a rare case of extensive submucosal esophageal hematoma that developed after a TEE-guided LAAO procedure. The cause, management, and prevention of this complication are explored in depth in this report.

摘要

左心耳封堵术(LAAO)是房颤患者中出血和血栓栓塞事件高风险患者口服抗凝治疗的替代方案。经食管超声心动图(TEE)是LAAO术中成像的标准方式。我们报告了1例经TEE引导的LAAO术后发生广泛黏膜下食管血肿的罕见病例。本报告深入探讨了该并发症的病因、处理及预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/9260248/719cbfddcfa0/fcvm-09-941924-g001.jpg

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