Complicações em sequencia de procedimentos endovasculares

Microsoft Word - FINAL Case Presentation Anon 18.12.20

https://www.cvcasejournal.com/article/S2468-6441(18)30218-4/fulltext

Transcatheter Aortic Valve Replacement to Treat Left Ventricular Outflow Tract Obstruction and Significant Paravalvular Leak Following Transcatheter Mitral Valve Replacement

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Exemplo de caso tratado com procedimento endovascular com complicações decorrentes do procedimento tratadas com novo procedimento endovascular.

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O círculo do tratamento endovascular fica mais complexo.

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Não era Hipertrofia Septal Assimétrica Obstrutiva Dinâmica pura

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Complete Resolution of Left Ventricular Outflow Tract Obstruction After Spontaneous Mitral Valve Chordal Rupture in a Patient With Hypertrophic Cardiomyopathy

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Conclusion

Chordal rupture is a rare but serious complication that could change the hemodynamics by generating acute MR and alleviating LVOT obstruction in HOCM. In the present case, symptoms of HF and LVOT obstruction were completely resolved after rupture of mitral valve chordae tendineae, suggesting that the mitral valve plays a pivotal role in the pathophysiology of LVOT obstruction.

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https://www.cvcasejournal.com/article/S2468-6441(18)30192-0/fulltext#sec4

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O Doppler inicial já mostrava o caráter obstrutivo fixo estrutural e não apenas dinâmico.

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1a

Provavelmente, o tendão que rompeu

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