自膨胀经导管主动脉瓣置换术后的主动脉夹层
Aortic Dissection After Self-Expanding Transcatheter Aortic Valve Replacement.
作者信息
DeRoo Scott, Leb Jay, George Isaac
机构信息
Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Washington, Seattle, Washington.
Division of Cardiothoracic Radiology, Department of Radiology, Columbia University, New York, New York.
出版信息
Ann Thorac Surg Short Rep. 2024 Nov 9;3(2):390-393. doi: 10.1016/j.atssr.2024.10.020. eCollection 2025 Jun.
Aortic dissection after transcatheter aortic valve replacement is rare but can be managed with open surgical repair. Principles of repair are the same as in patients with spontaneous aortic dissection; however, all procedures include transcatheter aortic valve replacement explantation and subsequent aortic valve replacement. A high index of suspicion facilitates early recognition and effective surgical repair.
经导管主动脉瓣置换术后发生主动脉夹层很少见，但可通过开放手术修复进行处理。修复原则与自发性主动脉夹层患者相同；然而，所有手术都包括经导管主动脉瓣置换物取出及随后的主动脉瓣置换。高度的怀疑指数有助于早期识别和有效的手术修复。
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