左心室辅助装置植入后需行血管腔内修复术的快速增大腹主动脉瘤
Rapidly Enlarging Abdominal Aortic Aneurysm Requiring Endovascular Repair After LVAD Placement.
作者信息
Kennel Peter J, O'Donnell Thomas F, Takeda Koji, Kaku Yuji, Sayer Gabriel, Uriel Nir, Patel Virendra I, Yuzefpolskaya Melana, Colombo Paolo C
机构信息
Center for Advanced Cardiac Care, Columbia University Irving Medical Center, New York, New York.
Division of Vascular Surgery and Endovascular Interventions, Columbia University Irving Medical Center, New York, New York.
出版信息
Ann Thorac Surg Short Rep. 2023 Aug 12;1(4):616-618. doi: 10.1016/j.atssr.2023.07.010. eCollection 2023 Dec.
A 67-year-old man with medical history of ischemic cardiomyopathy with stage D heart failure and infrarenal abdominal aortic aneurysm underwent implantation of a left ventricular assist device (LVAD). Three months after the procedure, he presented with unrelenting back pain and a rapidly increased in size aneurysm. The patient underwent urgent endovascular aneurysm repair with uncomplicated recovery. Growing experience with current-generation LVADs led to the recognition of a novel type of vasculopathy: LVAD-induced aortopathy and a preexisting aortopathy may rapidly progress after LVAD placement.
一名67岁男性，有缺血性心肌病病史，处于D期心力衰竭，并有肾下腹主动脉瘤，接受了左心室辅助装置（LVAD）植入术。术后三个月，他出现持续的背痛，动脉瘤大小迅速增加。该患者接受了紧急血管内动脉瘤修复术，恢复过程顺利。随着对新一代LVAD经验的不断积累，人们认识到一种新型血管病变：LVAD诱导的主动脉病变，并且在LVAD植入后，先前存在的主动脉病变可能会迅速进展。
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