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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.

DOI:10.1186/s13256-024-04806-7
PMID:39402646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11476030/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/04418eae17e5/13256_2024_4806_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/8a5bc233c767/13256_2024_4806_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/68e44cf615e1/13256_2024_4806_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/70e56244ba1e/13256_2024_4806_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/04418eae17e5/13256_2024_4806_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/8a5bc233c767/13256_2024_4806_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/68e44cf615e1/13256_2024_4806_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/70e56244ba1e/13256_2024_4806_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c2/11476030/04418eae17e5/13256_2024_4806_Fig4_HTML.jpg

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本文引用的文献

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Statistical Assumptions in Orthopaedic Literature: Are Study Findings at Risk?骨科文献中的统计学假设：研究结果是否面临风险？
Cureus. 2021 Oct 12;13(10):e18694. doi: 10.7759/cureus.18694. eCollection 2021 Oct.
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STS-ACC TVT Registry of Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术的STS-ACC TVT注册研究
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Acute left main stem coronary occlusion following transcatheter aortic valve replacement in a patient without recognized coronary obstruction risk factors: a case report.经导管主动脉瓣置换术后发生急性左主干冠状动脉闭塞，患者无公认的冠状动脉阻塞危险因素：一例报告。
Eur Heart J Case Rep. 2018 Oct 23;2(4):yty112. doi: 10.1093/ehjcr/yty112. eCollection 2018 Dec.
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The evolution of device technology in transcatheter aortic valve implantation.经导管主动脉瓣植入术的器械技术演变。
EuroIntervention. 2019 Apr 5;14(18):e1826-e1833. doi: 10.4244/EIJ-D-18-01048.
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Delayed Coronary Obstruction After TAVR: A Call for Vigilance.经导管主动脉瓣置换术后延迟性冠状动脉阻塞：需提高警惕
J Am Coll Cardiol. 2018 Apr 10;71(14):1525-1527. doi: 10.1016/j.jacc.2018.01.067.
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Delayed Coronary Obstruction After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后的延迟性冠状动脉阻塞。
J Am Coll Cardiol. 2018 Apr 10;71(14):1513-1524. doi: 10.1016/j.jacc.2018.01.066.
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A Case of Acute Left Main Coronary Obstruction Following Transcatheter Aortic Valve Implantation.一例经导管主动脉瓣植入术后急性左主干冠状动脉阻塞病例。
Cureus. 2017 Dec 14;9(12):e1951. doi: 10.7759/cureus.1951.
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Clinical outcomes of coronary occlusion following transcatheter aortic valve replacement: A systematic review.经导管主动脉瓣置换术后冠状动脉闭塞的临床结局：一项系统评价。
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10
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