• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

经导管三尖瓣环内植入术中危及生命的肺动脉破裂：病例报告及处理策略

Life-threatening pulmonary artery rupture during transcatheter tricuspid valve-in-ring implantation: case report and management strategies.

作者信息

Sadikoglu Kadir, Pay Dilara, Aslan Serkan, Babur Guler Gamze, Erturk Mehmet

机构信息

Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular, Turgut Ozal Bulvarı No:11, Istanbul, Kucukcekmece 34303, Turkey.

出版信息

Eur Heart J Case Rep. 2025 Aug 16;9(8):ytaf351. doi: 10.1093/ehjcr/ytaf351. eCollection 2025 Aug.

DOI:10.1093/ehjcr/ytaf351
PMID:40988985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12451689/
Abstract

BACKGROUND

This case report highlights pulmonary artery rupture as a rare but severe complication during transcatheter valve-in-ring implantation (TVIRI). The case offers practical preventive strategies to enhance procedural safety in high-risk patients undergoing TVIRI.

CASE SUMMARY

A 54-year-old female patient presented with severe tricuspid regurgitation due to annuloplasty ring failure. The TVIRI was complicated by pulmonary artery rupture, resulting in massive haemoptysis and haemodynamic collapse. The bleeding was successfully controlled by prompt management with balloon tamponade and selective embolization using an Amplatzer Vascular Plug 4.

DISCUSSION

This case demonstrates the potential for life-threatening complications during TVIRI and highlights the importance of careful procedural planning, multidisciplinary collaboration, and prompt intervention to ensure patient safety.

摘要

背景

本病例报告强调了肺动脉破裂是经导管瓣中瓣植入术（TVIRI）期间一种罕见但严重的并发症。该病例提供了切实可行的预防策略，以提高接受TVIRI的高危患者的手术安全性。

病例摘要

一名54岁女性患者因瓣环成形术环失败出现严重三尖瓣反流。TVIRI并发肺动脉破裂，导致大量咯血和血流动力学崩溃。通过球囊压迫迅速处理以及使用Amplatzer血管封堵器4进行选择性栓塞，成功控制了出血。

讨论

本病例证明了TVIRI期间存在危及生命的并发症的可能性，并强调了精心的手术规划、多学科协作以及迅速干预以确保患者安全的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/8a4aa091e48d/ytaf351f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/a9f5166ce019/ytaf351il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/5b28f143fe44/ytaf351f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/77fb1d23eb80/ytaf351f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/afffbbe97eb7/ytaf351f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/c5788657fd9c/ytaf351f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/8a4aa091e48d/ytaf351f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/a9f5166ce019/ytaf351il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/5b28f143fe44/ytaf351f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/77fb1d23eb80/ytaf351f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/afffbbe97eb7/ytaf351f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/c5788657fd9c/ytaf351f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/12451689/8a4aa091e48d/ytaf351f5.jpg

相似文献

1
Life-threatening pulmonary artery rupture during transcatheter tricuspid valve-in-ring implantation: case report and management strategies.经导管三尖瓣环内植入术中危及生命的肺动脉破裂：病例报告及处理策略
Eur Heart J Case Rep. 2025 Aug 16;9(8):ytaf351. doi: 10.1093/ehjcr/ytaf351. eCollection 2025 Aug.
2
Successful Management of an Atrial Embolized Valve During Transcatheter Tricuspid Valve-in-Ring Implantation With a Novel Technique: A Case Report.经导管三尖瓣环中植入术中应用新技术成功处理栓塞心房瓣膜：一例报告
Catheter Cardiovasc Interv. 2025 Jul;106(1):674-679. doi: 10.1002/ccd.31602. Epub 2025 May 19.
3
Balloon-expandable Myval valve-in-valve transcatheter aortic valve implantation with bailout left main coronary artery chimney stenting: a case report.球囊可扩张的Myval瓣中瓣经导管主动脉瓣植入术联合补救性左主干冠状动脉烟囱支架置入术：一例报告
J Med Case Rep. 2025 Aug 5;19(1):390. doi: 10.1186/s13256-025-05471-0.
4
Chordae tendineae rupture: a rare cause of tricuspid regurgitation following coronary artery bypass grafting.腱索断裂：冠状动脉搭桥术后三尖瓣反流的罕见原因。
BMC Anesthesiol. 2025 Jul 29;25(1):362. doi: 10.1186/s12871-025-03270-0.
5
Vesicoureteral Reflux膀胱输尿管反流
6
Transcatheter Tricuspid Valve Replacement After Failed Transcatheter Annuloplasty and Edge-to-Edge Repair.经导管瓣环成形术和缘对缘修复失败后的经导管三尖瓣置换术
JACC Case Rep. 2025 Jul 16;30(19):103945. doi: 10.1016/j.jaccas.2025.103945.
7
-Related Marfan Syndrome-相关马凡综合征
8
Heterotopic Crosscaval Transcatheter Tricuspid Valve Replacement for Patients With Tricuspid Regurgitation: The Trillium Device.用于三尖瓣反流患者的异位跨腔静脉经导管三尖瓣置换术：延龄草装置
JACC Cardiovasc Interv. 2025 Jun 9;18(11):1425-1434. doi: 10.1016/j.jcin.2025.04.036.
9
Rapid-Onset Heparin-Induced Thrombocytopenia Leading to Cardiogenic Shock Due to Left Anterior Descending Artery Embolism During Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术中因左前降支动脉栓塞导致快速发作的肝素诱导的血小板减少症并引发心源性休克
Cureus. 2025 Jul 23;17(7):e88622. doi: 10.7759/cureus.88622. eCollection 2025 Jul.
10
Transcatheter Repair for Patients with Tricuspid Regurgitation.经导管三尖瓣反流修复术治疗患者。
N Engl J Med. 2023 May 18;388(20):1833-1842. doi: 10.1056/NEJMoa2300525. Epub 2023 Mar 4.

本文引用的文献

1
Tricuspid Regurgitation Complicating Heart Failure: A Novel Clinical Entity.三尖瓣反流并发心力衰竭：一种新型临床实体。
Rev Cardiovasc Med. 2024 Sep 18;25(9):330. doi: 10.31083/j.rcm2509330. eCollection 2024 Sep.
2
Multimodality Imaging Approach for Planning and Guiding Direct Transcatheter Tricuspid Valve Annuloplasty.多模态影像学方法在直接经导管三尖瓣瓣环成形术规划和指导中的应用。
J Am Soc Echocardiogr. 2024 Apr;37(4):449-465. doi: 10.1016/j.echo.2024.01.010. Epub 2024 Jan 28.
3
Transcatheter treatment for tricuspid valve disease.
经导管三尖瓣疾病治疗。
EuroIntervention. 2021 Nov 19;17(10):791-808. doi: 10.4244/EIJ-D-21-00695.
4
2021 ESC/EACTS Guidelines for the management of valvular heart disease.2021年欧洲心脏病学会/欧洲心胸外科学会瓣膜性心脏病管理指南。
Eur Heart J. 2022 Feb 12;43(7):561-632. doi: 10.1093/eurheartj/ehab395.
5
Iatrogenic perforation of a pulmonary artery side branch-a case report.医源性肺动脉分支穿孔——一例报告
Eur Heart J Case Rep. 2021 Jun 17;5(6):ytab199. doi: 10.1093/ehjcr/ytab199. eCollection 2021 Jun.
6
2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020 ACC/AHA 瓣膜性心脏病患者管理指南：执行摘要：美国心脏病学会/美国心脏协会临床实践指南联合委员会的报告。
J Am Coll Cardiol. 2021 Feb 2;77(4):450-500. doi: 10.1016/j.jacc.2020.11.035. Epub 2020 Dec 17.
7
Imaging for Tricuspid Valve Repair and Replacement.三尖瓣修复和置换的影像学评估。
JACC Cardiovasc Imaging. 2021 Jan;14(1):61-111. doi: 10.1016/j.jcmg.2020.01.031. Epub 2020 Aug 19.
8
Transcatheter Tricuspid Valve-in-Valve and Valve-in-Ring Implantation for Degenerated Surgical Prosthesis.经导管三尖瓣瓣中瓣和瓣环内植入术治疗退行性外科假体。
JACC Cardiovasc Interv. 2019 Aug 12;12(15):1403-1412. doi: 10.1016/j.jcin.2019.05.029. Epub 2019 Jul 17.
9
Efficacy and Safety of AMPLATZER Vascular Plug Type IV for Embolization of Pulmonary Arteriovenous Malformations.Amplatzer 血管塞 IV 型治疗肺动静脉畸形栓塞的疗效和安全性。
J Vasc Interv Radiol. 2019 Jul;30(7):1082-1088. doi: 10.1016/j.jvir.2018.07.029. Epub 2019 Feb 27.
10
The Amplatzer Vascular Plug: Review of Evolution and Current Applications.Amplatzer血管封堵器：演变与当前应用综述
Semin Intervent Radiol. 2015 Dec;32(4):356-69. doi: 10.1055/s-0035-1564810.