血管内支架成功治疗LVAD感染性假性动脉瘤

Rustum S, Schmitto J, Dogan G, Umminger J, Haverich A, Wilhelmi M
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引用次数: 0

摘要

假动脉瘤是与左心室辅助装置(left ventricular assist device, LVAD)植入相关的罕见并发症,多发生在左心室尖部及流出部移植物与升主动脉吻合处。除了吻合相关的并发症和胸骨丝对移植物的侵蚀外,它们还可能由于感染而发生。然而假性动脉瘤是一种主要的并发症,可能导致严重的发病率和死亡率,在大多数情况下需要开放手术治疗。在这里,我们报告一例感染引起的假性动脉瘤靠近LAVD的流出管,并成功地治疗血管内支架移植。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful Treatment of LVAD Patient with Infection-Induced Pseudoaneurysm using Endovascular Stent Graft
Peudoaneurysms are rare complications related to left ventricular assist device (LVAD) implantation and mostly occur at the left ventricular apex, as well as the anastomosis of the outflow graft to the ascending aorta. Beside anastomosis related complications and an erosion of the graft with a sternal wire they can occur due to an infection. Nevertheless pseudoaneurysms represent a major complication potentially leading to significant morbidity and mortality and in most cases necessitating open-surgical management. Here we report on a case of an infectioninduced pseudoaneurysm in close proximity to the LAVD’s outflow cannula which was treated successfully with an endovascular stentgraft.
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