大块右冠状动脉空气栓塞致心室颤动1例。

Hongcai Zhang, Ai-Ling Huang, Qian Nie, Haseeb Sattar, Xie Wen
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引用次数: 0

摘要

背景:冠状动脉空气栓塞是冠状动脉介入治疗中一种罕见但严重的并发症。病例介绍:我们报告一例在经皮冠状动脉介入治疗期间,右冠状动脉发生大量空气栓塞,导致心室颤动。患者经电除颤成功复苏,完全恢复,冠状动脉血流达到timi3。最终血流储备分数未显示冠状动脉微血管功能障碍。结论:使用心律转复除颤器诱导强心肌收缩可以有效地分散大空气栓塞,恢复冠状动脉循环。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ventricular fibrillation caused by massive right coronary air embolism: a case report.

Background: Coronary air embolism is a rare but severe complication of coronary interventions.

Case presentation: We present a case of a massive air embolism in the right coronary artery during percutaneous coronary intervention, resulting in ventricular fibrillation. The patient was successfully resuscitated with electric defibrillation, leading to full recovery and TIMI 3 coronary flow. The final fractional flow reserve showed no residual coronary microvascular dysfunction.

Conclusion: Our finding suggests that inducing strong myocardial contractions with a cardioverter defibrillator may effectively disperse large air emboli and restore coronary circulation.

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