成功关闭室间隔缺损;经导管主动脉瓣置换术后的罕见并发症。

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Saadet Demirtas Inci, Murat Tulmaç, Cagatay Tunca, Tolgahan Efe, Hakan Güllü
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引用次数: 0

摘要

在此报告中,我们报告了一例室间隔缺损(VSD)患者,在经导管主动脉瓣植入术(TAVI)后一个月的随访中发现并经皮成功关闭。术前在重度钙化主动脉瓣位置放置29 mm Portico自膨胀主动脉瓣假体,因主动脉功能不全进行球囊扩张,取得良好效果。TAVI后一个月,患者在休息时主诉呼吸短促,体格检查发现全收缩期杂音。经胸超声心动图(TTE)显示一个功能良好的人工主动脉瓣;然而,在室间隔检测到室间隔缺损导致左至右分流。随后,我们使用Amplatzer肌肉型VSD闭塞装置经股动脉入路对该缺损进行介入治疗。目前,联合治疗5个月后,患者症状明显改善,未见明显分流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Successful closure of the ventricular septal defect;A rare complication after transcatheter aortic valve replacement.

Successful closure of the ventricular septal defect;A rare complication after transcatheter aortic valve replacement.

Successful closure of the ventricular septal defect;A rare complication after transcatheter aortic valve replacement.

Successful closure of the ventricular septal defect;A rare complication after transcatheter aortic valve replacement.

In this report, we present a patient with ventricular septal defect (VSD) that was detected at follow-up one month after transcatheter aortic valve implantation (TAVI) and successfully closed percutaneously. Before the procedure, a 29 mm Portico self-expanding aortic valve prosthesis was placed in the heavy calcific aortic valve position, and then the balloon was dilated due to aortic insufficiency and excellent results were obtained. One month after TAVI, the patient complained of shortness of breath at rest, and on physical examination a pansystolic murmur was detected. Transthoracic echocardiography (TTE) revealed a well-functioning prosthetic aortic valve; however, a VSD was detected causing left-to-right shunt in the interventricular septum. Later, we performed the interventional treatment of the defect using the Amplatzer muscular VSD occluder device with the transfemoral approach. Currently, five months after the combined procedure, the patient showed a significant improvement in symptoms and no significant shunt was observed.

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来源期刊
Journal of Cardiovascular and Thoracic Research
Journal of Cardiovascular and Thoracic Research CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.00
自引率
0.00%
发文量
22
审稿时长
7 weeks
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