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经食管超声心动图诊断的经导管主动脉瓣置换术栓塞及使用胸主动脉腔内修复术支架的新型管理策略

Embolized Transcatheter Aortic Valve Replacement Diagnosed With Transesophageal Echocardiography and a Novel Management Strategy Using a Thoracic Endovascular Aneurysm Repair Stent.

作者信息

Jouryyeh Basil, Beshara Michael

机构信息

From the Ministry of Health, Amman, Jordan.

Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas.

出版信息

A A Pract. 2025 Jan 2;19(1):e01890. doi: 10.1213/XAA.0000000000001890. eCollection 2025 Jan 1.

Abstract

Transcatheter aortic valve replacement (TAVR) is a common treatment for severe aortic stenosis (AS), but it carries the risk of severe complications, including device embolization. We present a case of a TAVR valve embolization into the left ventricular outflow tract (LVOT), diagnosed with transesophageal echocardiography (TEE) shortly after device deployment. The dislodged valve was successfully retrieved from the LVOT into the aorta, flattened, and stabilized with a thoracic endovascular aneurysm repair (TEVAR) stent, enabling the successful implantation of a new TAVR valve.

摘要

经导管主动脉瓣置换术(TAVR)是治疗严重主动脉瓣狭窄(AS)的常用方法,但它存在严重并发症的风险,包括器械栓塞。我们报告一例TAVR瓣膜栓塞至左心室流出道(LVOT)的病例,在器械植入后不久经食管超声心动图(TEE)确诊。移位的瓣膜成功地从LVOT取回至主动脉,展平后用胸段血管腔内修复术(TEVAR)支架固定,从而得以成功植入一枚新的TAVR瓣膜。

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