一例改良 Bentall 手术后早期机械主动脉假体血栓形成和冠状动脉栓塞的成功非手术疗法。

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Future cardiology Pub Date : 2024-01-01 Epub Date: 2024-10-03 DOI:10.1080/14796678.2024.2404332

Isabel Durães Campos, Ana Rita Ferreira, Armando Abreu, Sérgio Gaião

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引用次数: 0

摘要

人工瓣膜血栓虽然罕见，但却是瓣膜置换手术中威胁生命的并发症。作者介绍了一例使用 CarboSeal Valsalva™ 导管的改良 Bentall 手术并发早期机械人工主动脉瓣血栓和冠状动脉栓塞的非典型病例。患者接受了急诊经皮冠状动脉成形术和左前降支动脉冠状动脉内血栓抽吸术，随后全身注射 10 毫克组织纤溶酶原激活剂，接着超慢速（25 小时）输注低剂量（25 毫克）组织纤溶酶原激活剂，并接受静脉体外膜肺氧合支持，治疗获得成功。

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Successful nonsurgical therapeutic management in a case of early mechanical aortic prosthetic thrombosis and coronary embolism after a modified Bentall procedure.

Prosthetic valve thrombosis, although rare, is a life-threatening complication of valve replacement surgery. The authors present an atypical case of a modified Bentall procedure with the CarboSeal Valsalva™ conduit complicated by an early mechanical prosthetic aortic valve thrombosis and coronary embolism. The patient was successfully treated with an emergency percutaneous coronary angioplasty and intracoronary thrombus aspiration of the left anterior descending artery, followed by a systemic 10 mg bolus of tissue plasminogen activator followed by ultraslow (25 h) infusion of low-dose (25 mg), while supported with venoarterial extracorporeal membrane oxygenation.

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来源期刊

Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.80

自引率

5.90%

发文量

期刊介绍： Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.