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经导管主动脉瓣植入术后使用自膨胀瓣膜封堵升主动脉假性动脉瘤

Plug Closure for Ascending Aortic Pseudoaneurysms After TAVI Using Self-Expandable Valve.

作者信息

Katada Yoshiaki, Irie Yoshihito, Yamamoto Yoshito, Nakanowatari Hitoshi, Endo Yoshiki, Kitagawa Akinobu, Fukada Yasuhisa

机构信息

Department of Cardiovascular Surgery, Iwaki City Medical Center, Iwaki, Japan.

Department of Radiology, Tokyo Medical University Ibaraki Medical Center, Ibaraki, Japan.

出版信息

Ann Thorac Surg Short Rep. 2024 May 23;2(4):776-778. doi: 10.1016/j.atssr.2024.04.026. eCollection 2024 Dec.

DOI:10.1016/j.atssr.2024.04.026
PMID:39790567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708608/
Abstract

A 90-year-old man received a diagnosis of ascending aortic pseudoaneurysms after transcatheter aortic valve implantation (TAVI) using an Evolut PRO valve (Medtronic). Plug closure of the pseudoaneurysms was successfully performed, and the symptoms improved after the procedure. However, on postoperative day 4, the patient experienced sudden massive hemoptysis and died. Although there are a few reports of successful plug closure of ascending aortic pseudoaneurysms after TAVI, it may be difficult to achieve control of pseudoaneurysms by plug closure alone.

摘要

一名90岁男性在使用Evolut PRO瓣膜（美敦力公司）行经导管主动脉瓣植入术（TAVI）后被诊断为升主动脉假性动脉瘤。成功进行了假性动脉瘤的封堵术，术后症状有所改善。然而，术后第4天，患者突然出现大量咯血并死亡。尽管有少数关于TAVI术后成功封堵升主动脉假性动脉瘤的报道，但仅通过封堵术可能难以控制假性动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d74/11708608/88e6fcda137c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d74/11708608/875c7d5973c8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d74/11708608/88e6fcda137c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d74/11708608/875c7d5973c8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d74/11708608/88e6fcda137c/gr2.jpg

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本文引用的文献

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Ann Thorac Cardiovasc Surg. 2024 Jan 26;30(1). doi: 10.5761/atcs.cr.22-00089. Epub 2022 Aug 24.
2
Ascending Aortic Pseudoaneurysm: A Rare Complication of Transcatheter Aortic Valve Replacement and Thoracic Surgery.升主动脉假性动脉瘤：经导管主动脉瓣置换术和胸外科手术的罕见并发症
Circ Cardiovasc Imaging. 2022 Jul;15(7):e014076. doi: 10.1161/CIRCIMAGING.122.014076. Epub 2022 Jun 23.
3
Endovascular entry closure of a late type A aortic dissection after implantation of a self-expanding transcatheter heart valve (Evolut R): a case report.自膨式经导管心脏瓣膜（Evolut R）植入术后晚期A型主动脉夹层的血管腔内入口闭合：一例报告
Eur Heart J Case Rep. 2021 Aug 18;5(9):ytab343. doi: 10.1093/ehjcr/ytab343. eCollection 2021 Sep.
4
Surgical Explantation After TAVR Failure: Mid-Term Outcomes From the EXPLANT-TAVR International Registry.经导管主动脉瓣置换术（TAVR）失败后的外科取出：EXPLANT-TAVR 国际注册研究的中期结果。
JACC Cardiovasc Interv. 2021 Sep 27;14(18):1978-1991. doi: 10.1016/j.jcin.2021.07.015.
5
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