我是如何处理一名严重主动脉瓣狭窄伴左心室功能障碍患者在经导管主动脉瓣植入术中出现的无脉搏电活动病例的?

Abhisekh Mohanty
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引用次数: 0

摘要

经导管主动脉瓣植入术(TAVI)期间发生心脏骤停的情况非常罕见,但通常会造成严重后果,包括死亡率和严重的神经损伤。我们的患者是一名 89 岁的男性,患有无症状的重度主动脉瓣狭窄和左心室功能障碍。他在 TAVI 过程中出现了长时间的心脏停搏,表现为无脉电活动(PEA)。在排除心脏填塞和出血的可能性后,我们决定在进行心肺复苏的同时进行 TAVI 手术。TAVI 术后,患者的血流动力学状况立即得到改善,我们可以避免使用机械循环支持。我们还详细讨论了 TAVI 期间 PEA 的原因、诊断和处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How Did I Manage a Case of Pulseless Electrical Activity During Transcatheter Aortic Valve Implantation in a Patient with Severe Aortic Valve Stenosis with Left Ventricular Dysfunction?
Cardiac arrest during transcatheter aortic valve implantation (TAVI) is rare but is generally associated with dramatic consequences including mortality and severe neurological damage. Our patient is an 89-year-old male with symptomatic severe aortic valve stenosis and left ventricular dysfunction. He had a prolonged cardiac arrest in the form of pulseless electrical activity (PEA) during TAVI. After ruling out cardiac tamponade and bleeding, we decided to do the TAVI while doing cardiopulmonary resuscitation. The hemodynamics of the patient improved immediately after TAVI and we could avoid the use of a mechanical circulatory support. We have also discussed in detail the cause, diagnosis, and management of PEA during TAVI.
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