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病例报告:肺静脉支架置入术罕见并发症的成功治疗——心房破裂和支架脱落。

Case report of the successful treatment of a rare complication of pulmonary vein stenting: atrial rupture and stent detachment.

机构信息

Department of Respiratory Medicine, Wuhan Sixth Hospital, Wuhan, China.

出版信息

BMC Pulm Med. 2024 Oct 31;24(1):549. doi: 10.1186/s12890-024-03375-1.

Abstract

Pulmonary vein stenosis (PVS) is a relatively rare pulmonary vascular disease in clinical practice, and radiofrequency ablation (RFA) is a common cause of pulmonary vein stenosis. Owing to its nonspecific symptoms and irregular follow-up, PVS is often misdiagnosed. In severe cases, intervention is needed, with the main treatment options being pulmonary vein stenting and/or balloon dilation, both of which carry risks of serious complications. We report a patient with severe pulmonary vein stenosis who experienced right atrial wall rupture and stent detachment during an interventional procedure. Through active intraoperative intervention, we successfully avoided serious complications.

摘要

肺静脉狭窄(PVS)是临床实践中相对罕见的肺血管疾病,射频消融(RFA)是肺静脉狭窄的常见原因。由于其非特异性症状和不规则的随访,PVS 经常被误诊。在严重的情况下,需要进行干预,主要的治疗选择是肺静脉支架置入和/或球囊扩张,两者都有严重并发症的风险。我们报告了一例在介入治疗过程中发生右心房壁破裂和支架脱落的严重肺静脉狭窄患者。通过积极的术中干预,我们成功地避免了严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7c3/11529027/3bc4ba22cedb/12890_2024_3375_Fig1_HTML.jpg

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