Cardiac Surgery Department, San Raffaele Scientific Institute, Milan, Italy.
Catheter Cardiovasc Interv. 2010 Jan 1;75(1):51-5. doi: 10.1002/ccd.22199.
Transcatheter aortic valve implantation is an alternative to conventional aortic valve replacement for patients at high surgical risk, with favorable procedural outcomes. Aortic regurgitation remains an off-label indication. Recent case reports describe the successful use of a second CoreValve inside a malpositioned first CoreValve. In the current case, we report for the first time a valve-in-valve procedure for the treatment of a severely insufficient CoreValve prosthesis using the Edwards-Sapien prosthesis.
经导管主动脉瓣植入术是一种替代传统主动脉瓣置换术的方法，适用于高手术风险的患者，具有良好的手术效果。主动脉瓣反流仍然是一种超适应证的适应证。最近的病例报告描述了在第一个 CoreValve 错位的情况下成功使用第二个 CoreValve 的情况。在目前的病例中，我们首次报告了使用 Edwards-Sapien 假体对严重功能不全的 CoreValve 假体进行瓣中瓣手术的情况。
