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经导管自膨式肺动脉瓣植入术后左冠状动脉受压及支架骨折

Left Coronary Artery Compression and Stent Fracture Following Self-Expanding Transcatheter Pulmonary Valve Implantation.

作者信息

Wong-Siegel Jeannette, Naylor Adam, Balzer David

机构信息

Division of Pediatric Cardiology, Washington University School of Medicine, St Louis Children's Hospital, St Louis, Missouri, USA.

Mallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, Missouri, USA.

出版信息

JACC Case Rep. 2024 Sep 4;29(17):102500. doi: 10.1016/j.jaccas.2024.102500.

Abstract

Coronary compression and vascular perforation have not been reported for self-expanding transcatheter pulmonary valves. We describe a patient with tetralogy of Fallot after self-expanding valve implantation who developed left coronary artery compression from the valve. In addition, a wire frame fracture resulted in perforation of the aorta.

摘要

自膨胀式经导管肺动脉瓣尚未有冠状动脉受压和血管穿孔的报道。我们描述了一名法洛四联症患者,在植入自膨胀瓣膜后出现了瓣膜导致的左冠状动脉受压。此外,一个金属丝框架骨折导致了主动脉穿孔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/a2ca3826f48b/ga1.jpg

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