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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.

DOI:10.1016/j.jaccas.2024.102500
PMID:39359517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11442191/
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/0635/11442191/46e2d33a9ab5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/a2ca3826f48b/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/0260db09d05c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/5ebb88e80340/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/c6a04d625319/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/8004ce96ab27/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/375d57572b4d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/df781e7cba65/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/46e2d33a9ab5/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/a2ca3826f48b/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/0260db09d05c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/5ebb88e80340/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/c6a04d625319/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/8004ce96ab27/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/375d57572b4d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/df781e7cba65/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0635/11442191/46e2d33a9ab5/gr7.jpg

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本文引用的文献

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Transcatheter Pulmonary Valve Replacement: A Review of Current Valve Technologies.经导管肺动脉瓣置换术：当前瓣膜技术综述
J Soc Cardiovasc Angiogr Interv. 2022 Sep 16;1(6):100452. doi: 10.1016/j.jscai.2022.100452. eCollection 2022 Nov-Dec.
2
1-Year Outcomes in a Pooled Cohort of Harmony Transcatheter Pulmonary Valve Clinical Trial Participants.Harmony 经导管肺动脉瓣临床试验参与者的汇总队列中 1 年的结果。
JACC Cardiovasc Interv. 2023 Aug 14;16(15):1917-1928. doi: 10.1016/j.jcin.2023.03.002. Epub 2023 May 17.
3
Three-Year Outcomes From the Harmony Native Outflow Tract Early Feasibility Study.
Harmony 原生流出道早期可行性研究三年随访结果。
Circ Cardiovasc Interv. 2020 Jan;13(1):e008320. doi: 10.1161/CIRCINTERVENTIONS.119.008320. Epub 2020 Jan 9.
4
A New Concern: Persistent Coronary Artery Compression After Balloon Testing During Transcatheter Pulmonary Valve Replacement.一个新问题：经导管肺动脉瓣置换术中球囊测试后持续存在的冠状动脉受压情况。
JACC Cardiovasc Interv. 2019 Feb 11;12(3):e17-e20. doi: 10.1016/j.jcin.2018.10.033. Epub 2018 Dec 12.
5
Harmony Feasibility Trial: Acute and Short-Term Outcomes With a Self-Expanding Transcatheter Pulmonary Valve.Harmony 可行性试验：自膨式经导管肺动脉瓣的急性和短期结果。
JACC Cardiovasc Interv. 2017 Sep 11;10(17):1763-1773. doi: 10.1016/j.jcin.2017.05.034.
6
Coronary artery compression during intention to treat right ventricle outflow with percutaneous pulmonary valve implantation: incidence, diagnosis, and outcome.经皮肺动脉瓣植入术治疗右心室流出道时冠状动脉受压：发生率、诊断及结果
Catheter Cardiovasc Interv. 2014 Jun 1;83(7):E260-8. doi: 10.1002/ccd.25471. Epub 2014 Mar 19.
7
Risk of coronary artery compression among patients referred for transcatheter pulmonary valve implantation: a multicenter experience.经导管肺动脉瓣植入术患者冠状动脉受压风险：多中心经验。
Circ Cardiovasc Interv. 2013 Oct 1;6(5):535-42. doi: 10.1161/CIRCINTERVENTIONS.113.000202. Epub 2013 Sep 24.