经导管主动脉瓣置入术治疗室间隔膜性动脉瘤导致病因不明的心包填塞。

IF 1.8 4区医学 Q2 ACOUSTICS

Medical Ultrasonography Pub Date : 2023-03-30 Epub Date: 2020-10-28 DOI:10.11152/mu-2706

Mihaela Ioana Dregoesc, Dan Ion Bindea, Madalin Constantin Marc, Vasile Sasarman, Adrian Corneliu Iancu

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引用次数: 0

摘要

一位患有严重主动脉狭窄和室间隔膜性动脉瘤的86岁女士接受了经股经导管主动脉瓣植入术。在困难的原生阀门穿越后，部署了一个气球膨胀阀。经食管超声心动图显示心包积液迅速积聚，伴心包血栓及心包填塞。血管造影显示怀疑主动脉根部穿孔。胸骨正中切开术，因为突然的血流动力学塌陷。本文报告了一位八十多岁老人的严重主动脉狭窄和室间隔膜性动脉瘤之间的罕见关联，并讨论了其对tavi后主要并发症发展的影响。

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Transcatheter aortic valve implantation in a patient with interventricular membranous septal aneurysm resulted in cardiac tamponade of unclear etiology.

An 86-year-old lady with severe aortic stenosis and interventricular membranous septal aneurysm underwent transfemoral transcatheter aortic valve implantation (TAVI). A balloon-expandable valve was deployed after a difficult native valve crossing. Transesophageal echocardiography showed a rapidly accumulating pericardial effusion, with pericardial thrombus and subsequent cardiac tamponade. The angiographic views raised suspicion of aortic root perforation. Median sternotomy was performed because of sudden hemodynamic collapse.The report presents the uncommon association between severe aortic stenosis and interventricular membranous septal aneurysm in an octogenarian and discusses its impact on the development of a post-TAVI major complication.

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来源期刊

Medical Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.20

自引率

5.90%

发文量

期刊介绍： The journal aims to promote ultrasound diagnosis by publishing papers in a variety of categories, including editorial letters, original papers, review articles, pictorial essays, technical developments, case reports, letters to the editor or occasional special reports (fundamental, clinical as well as methodological and educational papers). The papers published cover the whole spectrum of the applications of diagnostic medical ultrasonography, including basic science and therapeutic applications. The journal hosts information regarding the society''s activities, scheduling of accredited training courses in ultrasound diagnosis, as well as the agenda of national and international scientific events.