El-Andari Ryaan, Alomran Mansour, O'Connell Andrew, Varughese Thomas, Nagendran Jeevan
Division of Cardiac Surgery, University of Alberta, Edmonton, T6G 2R3, AB, Canada.
Department of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, T6G 2R3, AB, Canada.
Future Cardiol. 2023 Apr;19(5):249-253. doi: 10.2217/fca-2022-0074. Epub 2023 Jul 20.
Annular rupture occurs in approximately 1% of transcatheter aortic valve replacement cases. Annular rupture often requires surgical management and is associated with high mortality. Repair of annular rupture in patients with previous coronary artery bypass grafting (CABG) is undercharacterized and poses a unique challenge given the increased difficulty and complexity from both an emergent and reoperative case. An 80-year-old male with previous CABG experienced annular rupture post-transcatheter aortic valve replacement requiring urgent surgical management. This case illustrates the successful repair of a rare and high-risk complication describing the approach utilized in correcting annular rupture in a patient with previous CABG.
瓣环破裂发生在约1%的经导管主动脉瓣置换病例中。瓣环破裂通常需要手术治疗，且与高死亡率相关。既往有冠状动脉旁路移植术（CABG）的患者发生瓣环破裂的情况研究较少，鉴于急诊和再次手术病例难度和复杂性增加，这带来了独特的挑战。一名80岁有CABG史的男性在经导管主动脉瓣置换术后发生瓣环破裂，需要紧急手术治疗。本病例展示了对一种罕见且高危并发症的成功修复，描述了在一名既往有CABG的患者中纠正瓣环破裂所采用的方法。
