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由于冠状动脉旁路移植术，左心耳封堵装置植入手术中止。

Left Atrial Appendage Occlusion Device Placement Aborted Because of Coronary Artery Bypass Graft.

作者信息

Yin John, Hillsdon-Smith Garret, Rhinehart Zachary J, Kaczorowski David, Jain Sandeep, Subramanian Harikesh

机构信息

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

出版信息

JACC Case Rep. 2023 Jan 30;9:101740. doi: 10.1016/j.jaccas.2023.101740. eCollection 2023 Mar 1.

DOI:10.1016/j.jaccas.2023.101740
PMID:36909269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9998707/
Abstract

Left atrial appendage occlusion device (LAAO) implantation among patients who have had coronary artery bypass grafting can be challenging. We report a case of scheduled LAAO device implantation that was aborted due to the anomalous course of a bypass graft that appeared to be adherent to the left atrial appendage. ().

摘要

在接受过冠状动脉旁路移植术的患者中植入左心耳封堵装置（LAAO）可能具有挑战性。我们报告了一例计划中的LAAO装置植入手术，该手术因一条似乎附着于左心耳的旁路移植血管走行异常而中止。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/fbde0dffc204/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/19eb04a94963/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/81349cf5c7d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/fbde0dffc204/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/19eb04a94963/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/81349cf5c7d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e2/9998707/fbde0dffc204/gr2.jpg

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本文引用的文献

1
Effectiveness and safety of transcatheter left atrial appendage closure.经导管左心耳封堵术的有效性和安全性。
J Cardiol. 2022 Feb;79(2):186-193. doi: 10.1016/j.jjcc.2021.08.031. Epub 2021 Sep 24.
2
Left atrial appendage occlusion device causing coronary obstruction: A word of caution.左心耳封堵装置导致冠状动脉阻塞：需谨慎对待。
J Card Surg. 2021 Feb;36(2):723-725. doi: 10.1111/jocs.15222. Epub 2020 Dec 16.
3
Pulmonary artery perforation caused by a left atrial appendage closure device.左心耳封堵器导致的肺动脉穿孔。
Catheter Cardiovasc Interv. 2020 Dec;96(7):E744-E746. doi: 10.1002/ccd.28541. Epub 2019 Oct 17.