【术中导管栓塞治疗肺动脉导管损伤】。

Q4 Medicine
Kazuya Terazono, Atsushi Nagasawa, Hiroyuki Ueda, Yuki Wada, Hironori Mihara, Akira Marui, Nobuhisa Ohno
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引用次数: 0

摘要

我们报告两例术中经导管栓塞治疗肺动脉导管(PAC)引起的肺动脉损伤。对1例严重二尖瓣反流及三尖瓣反流伴巨大左右心房的患者行二尖瓣、三尖瓣环成形术。第二例患者行主动脉瓣置换术和冠状动脉搭桥术。两例患者均在体外循环脱机时发生突发性大咯血,诊断为PAC所致肺动脉损伤。两例均经肺动脉主干行肺动脉造影及经导管栓塞术,均成功止血。在术中血管内治疗中,经肺动脉主干入路对诊断和治疗非常有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Intraoperative Catheter Embolization for Pulmonary Artery Injury Caused by a Pulmonary Artery Catheter].

We report two cases of intraoperative transcatheter embolization for pulmonary artery injury caused by a pulmonary artery catheter( PAC). The 1st case who had severe mitral regurgitation and tricuspid regurgitation with giant left and right atrium underwent mitral and tricuspid annuloplasty. The 2nd case woman underwent aortic valve replacement and coronary artery bypass grafting. Sudden massive hemoptysis occurred during weaning from cardiopulmonary bypass in both cases, and pulmonary artery injury due to PAC was diagnosed. Both cases underwent pulmonary arteriography via the main pulmonary artery trunk and transcatheter embolization, and successful hemostasis was obtained. During intraoperative endovascular treatment, an approach via the main pulmonary artery trunk is very useful for diagnosis and treatment.

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