经导管主动脉瓣植入术中装置栓塞后急诊手术转换一例报告

Barry Misbaou, CHABRY-HUN Yuthiline, M. Gun, Harmouche Majid, Caus Thierry
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摘要

经导管主动脉瓣植入术中装置栓塞后急诊手术转换一例报告。TAVI装置栓塞后的手术转归是非常罕见的。我们报告一例78岁的妇女谁接受了TAVI程序。由于假体移位,该手术失败,假体嵌入在升主动脉TABC的底部。这个病人做了紧急手术。我们想要提请注意的事实是,手术小组对TAVI患者的管理,在转换的情况下,应该迅速,手术干预应该短。激活(P波)到心室心肌激活的起始;mmHg:毫米汞柱;B2:第二个心音;LVH:左心室肥厚;ST段:ST段;V1、V2、V5、V6:电极;Onde T: wave;Ao:主动脉;Vmax:最大速度;IP:渗透率指数;LVEF:左心室射血分数;MR:二尖瓣返流;mm:毫米;TABC:头臂动脉主干;ECC:体外循环;米歇尔。内格罗蓬特:分钟
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Emergency Surgical Conversion Following Device Embolization During Transcatheter Aortic Valve Implantation: A Case Report
Emergency Surgical Conversion Following Device Embolization During Transcatheter Aortic Valve Implantation: A Case Report. Abstract Surgical conversion following embolization of a TAVI device is very rare. We report the case of a 78-year-old woman who underwent a TAVI procedure. This procedure failed due to migration of the prosthesis, which is embedded at the foot of the TABC in the ascending aorta. This patient had an emergency surgical conversion. We want to draw attention to the fact that the management of the TAVI patient by the surgical team in case of conversion should be rapid and the surgical intervention should be short. activation (P wave) to onset of ventricular myocardial activation; mmHg: millimeter of mercury ; B2: the second heart sound; LVH: Left Ventricular Hypertrophy; Segment ST: the ST-segment; V1, V2, V5, V6: the electrodes; Onde T: Twave; Ao : Aorta; Vmax: maximum velocity; IP: Permeability index; LVEF: Left Ventricular Ejection Fraction; MR: Mitral Regurgitation; mm: millimeter; TABC: Brachiocephalic Artery Trunk; ECC: Extracorporel Circulation; mn: minute
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