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4D 流动心脏磁共振成像在评估人工主动脉瓣膜置换术后并发症中的临床应用

Clinical Application of 4D Flow Cardiac Magnetic Resonance for Evaluating Complications After Surgical Aortic Valve Prosthesis Implantation.

作者信息

López Alcolea Julia, Álvarez Vázquez Ana, Urmeneta Ulloa Javier, Cabrera José Ángel, Forteza Gil Alberto, Rivas Oyarzabal Jorge, Recio Rodríguez Manuel, Fernández Alfonso Ana, Cano Alonso Raquel, Martínez de Vega Vicente

机构信息

Radiology Department, Hospital Universitario Quironsalud Madrid, Pozuelo de Alarcón, Madrid, Spain; Faculty of Medicine, Health and Sports, Department of Medicine, Universidad Europea of Madrid, Villaviciosa de Odón, Madrid, Spain.

Radiology Department, Hospital Universitario Quironsalud Madrid, Pozuelo de Alarcón, Madrid, Spain; Faculty of Medicine, Health and Sports, Department of Medicine, Universidad Europea of Madrid, Villaviciosa de Odón, Madrid, Spain.

出版信息

JACC Case Rep. 2025 Jun 4;30(13):104185. doi: 10.1016/j.jaccas.2025.104185.

Abstract

Four-dimensional flow cardiovascular magnetic resonance is highly effective in evaluating aortic prostheses and valve-related complications, particularly in detecting abnormal communications and leaks. This case series presents the clinical courses of 3 patients who developed postprocedural complications. The cases include: 1) a small periprosthetic leak with a fistula into the right ventricle; 2) a periprosthetic leak into the noncoronary sinus; and 3) severe prosthetic valve regurgitation.

摘要

四维血流心血管磁共振成像在评估主动脉假体及瓣膜相关并发症方面非常有效,尤其是在检测异常分流和渗漏方面。本病例系列展示了3例术后出现并发症的患者的临床病程。这些病例包括:1)假体周围小渗漏并伴有瘘管进入右心室;2)假体周围渗漏进入非冠状窦;3)严重的人工瓣膜反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e9/12235157/df306b8d4125/ga1.jpg

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