Kono Tetsuya, Tsukioka Katsuaki, Matsumura Yu, Naito Kazuki, Takano Tomohiro
Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan.
SAGE Open Med Case Rep. 2024 Dec 20;12:2050313X241309794. doi: 10.1177/2050313X241309794. eCollection 2024.
We present a case of an 82-year-old woman who developed sustained heart failure with left ventricular dyssynchrony after the modified Bentall procedure. Persistent circulatory instability and complete atrioventricular block suggested coronary artery stenosis. Multidetector computed tomography revealed stenosis of the grafted portion of the coronary artery. The patient was successfully treated by coronary artery bypass grafting with simultaneous epicardial cardiac resynchronization therapy system implantation.
我们报告一例82岁女性患者,其在改良Bentall手术后出现持续性心力衰竭并伴有左心室不同步。持续的循环不稳定和完全性房室传导阻滞提示冠状动脉狭窄。多排螺旋计算机断层扫描显示冠状动脉移植部分狭窄。该患者通过冠状动脉旁路移植术同时植入心外膜心脏再同步治疗系统而成功治愈。