经导管主动脉瓣置换术中右冠状动脉闭塞一例  

A right coronary artery occlusion after transcatheter aortic valve replacement

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)

机构地区：[1]山西省心血管病医院心内五病区,太原030024

出　　处：《华西医学》2020年第9期1135-1139,共5页West China Medical Journal

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.

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 

分 类 号：R654.2[医药卫生—外科学]