Raitt M H, Schwaegler B, Pearlman A S, Poole J E, Bardy G H, Dolack G L, Kudenchuk P J
Department of Medicine, University of Washington School of Medicine, Seattle.
Pacing Clin Electrophysiol. 1993 Oct;16(10):2064-6. doi: 10.1111/j.1540-8159.1993.tb01002.x.
A 49-year-old woman underwent a successful radiofrequency catheter ablation of a left-sided accessory pathway using a retrograde approach across the aortic valve. Routine echocardiography performed 20 hours after the procedure revealed a new aortic valve mass. Five blood cultures were negative. An echocardiogram after 2 days of heparin therapy showed complete resolution of the mass. There was no clinical evidence of embolization. Echocardiography may need to be performed routinely after catheter ablations performed retrograde across the aortic valve so that this potentially devastating complication can be diagnosed and treated early in its course.
一名49岁女性通过经主动脉瓣逆行途径成功进行了左侧旁路途径的射频导管消融术。术后20小时进行的常规超声心动图检查发现一个新的主动脉瓣肿物。五次血培养均为阴性。肝素治疗2天后的超声心动图显示肿物完全消退。没有栓塞的临床证据。对于经主动脉瓣逆行进行的导管消融术后，可能需要常规进行超声心动图检查，以便在这种潜在的严重并发症病程早期就能进行诊断和治疗。
