经导管主动脉瓣植入术后急性左主干闭塞的成功治疗：一例报告。
Successful management of acute left main coronary occlusion following transcatheter aortic valve implantation: a case report.
机构信息
Section of Cardiology, First Department of Internal Medicine, Medical University of Plovdiv, 15A Vassil Aprilov Blvd., 4002, Plovdiv, Bulgaria.
Department of Cardiovascular Surgery, Medical University of Plovdiv, Plovdiv, Bulgaria.
出版信息
J Med Case Rep. 2024 Oct 15;18(1):477. doi: 10.1186/s13256-024-04806-7.
BACKGROUND
Transcatheter aortic valve implantation is an established, highly effective procedure in selected patients with severe degenerative aortic valve stenosis at high risk for conventional surgery.
CASE PRESENTATION
We report a case of a 74-year-old Caucasian man who had an acute left main occlusion after transcatheter implantation of balloon-expandable valve prosthesis, followed by coronary intervention with successful recanalization.
CONCLUSIONS
Acute coronary occlusion is a rare life-threatening complication of transcatheter aortic valve implantation that is poorly predictable and requires immediate diagnosis and treatment.
背景
经导管主动脉瓣植入术是一种已确立的、高度有效的方法，适用于患有严重退行性主动脉瓣狭窄且传统手术风险高的特定患者。
病例介绍
我们报告了一例 74 岁白人男性的病例，该患者在经导管植入球囊扩张瓣膜假体后发生急性左主干闭塞，随后进行了冠状动脉介入治疗，成功再通。
结论
急性冠状动脉闭塞是经导管主动脉瓣植入术罕见的危及生命的并发症，难以预测，需要立即诊断和治疗。
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