[复杂的左心房阑尾闭合术：经皮处理 LAA 破裂]。

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2024-07-27 DOI:10.1016/j.ancard.2024.101782

Nicolas Amabile , Konstantinos Zannis , Ayoub Belfekih

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引用次数: 0

摘要

一名 81 岁的患者因左心房阑尾闭合术而转诊。CT 扫描对 LAA 的解剖分析显示其形态呈倒置的鸡翅状。手术通过下腹部经皮穿刺进行，并使用 AMPLATZER AMULET 25 毫米设备采取 "三明治 "闭合策略。尽管成功安装了封堵器，但很快就出现了血心包，与先天性 LAA 穿孔/部分破裂有关，并导致严重的血流动力学不稳定。心包穿刺术后，决定将活化凝血酶注入心包囊，以实现原位止血。这一策略使得血性心包得以凝固，活动性出血得以停止，而无需诉诸手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Ma fermeture d'auricule s'est compliquée : traitement percutané d'une rupture d'auricule gauche

An 81-year-old patient was referred for left atrial appendage closure. Anatomical LAA analysis by CT scan showed an inverted chicken wing morphology. The procedure was performed through i an infero-anterior transseptal puncture and led to “sandwich” closure strategy using an AMPLATZER AMULET 25 mm device. Despite successful deployment of the occluder, a hemopericardium soon developed related to an iatrogenic LAA perforation/partial rupture and leading to major hemodynamic instability. After pericardocentesis, it was decided to inject activated thrombin into the pericardial sac to achieve in situ hemostasis. This strategy enabled coagulation of the hemopericardium and cessation of active bleeding, without recourse to surgical treatment.

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.