摘要
该文讨论了1例严重主动脉瓣狭窄的女性患者,术前评估其左冠状动脉闭塞风险较高,在经导管主动脉瓣置换术过程中反而出现右冠状动脉完全闭塞,导致出现血流动力学障碍,紧急体外循环下的外科手术治疗在抢救该患者中发挥了重要作用。
This paper discusses a female patient with severe aortic stenosis,who was preoperatively assessed to be at high risk of left coronary artery occlusion,but developed complete occlusion of the right coronary artery during the procedure of transcatheter aortic valve replacement,leading to hemodynamic disorder.Surgical treatment under emergency cardiopulmonary bypass played a critical role in rescuing the patient.
作者
暴清波
安健
魏首栋
BAO Qingbo;AN Jian;WEI Shoudong(Ward 5,Department of Cardiologyt Shanxi Cardiovascular Hospital,Taiyuan,Shanxi 030024,P.R.China)
出处
《华西医学》
CAS
2020年第9期1135-1139,共5页
West China Medical Journal
关键词
主动脉瓣狭窄
经导管主动脉瓣置换术
右冠状动脉闭塞
Aortic stenosis
Transcatheter aortic valve replacement
Right coronary artery occlusion