García Eulogio, Albarrán Agustín, Heredia-Mantrana Jerónimo, Guerrero-Pinedo Fernando, Rodríguez Julio, Hernández-Antolín Rosana, Tascón Juan, Macaya Carlos
Unidad de Hemodinámica, Servicio de Cardiología, Hospital Clínico San Carlos, Madrid, España.
Rev Esp Cardiol. 2011 Nov;64(11):1052-5. doi: 10.1016/j.recesp.2011.02.022. Epub 2011 Jun 14.
Many patients with severe aortic stenosis never undergo surgical treatment for various reasons. Apart from the standard risks, some patients face an additional problem: their carrying of a mechanical mitral valve. In these patients, transcatheter aortic valve implantation is a therapeutic option. The literature contains only few reports of this procedure being performed (usually transapically) in such patients. This paper reports the cases of 3 patients with severe aortic stenosis, all carrying a mechanical mitral valve and at high surgical risk, all of whom were implanted by transcatheter aortic valve implantation with an Edwards aortic valve prosthesis. All procedures were successful with no complications encountered.
许多重度主动脉瓣狭窄患者因各种原因从未接受过手术治疗。除了标准风险外，一些患者还面临另一个问题：他们携带机械二尖瓣。对于这些患者，经导管主动脉瓣植入术是一种治疗选择。文献中仅有少数关于在此类患者中进行该手术（通常经心尖）的报道。本文报告了3例重度主动脉瓣狭窄患者的病例，所有患者均携带机械二尖瓣且手术风险高，所有患者均通过使用爱德华兹主动脉瓣假体经导管植入主动脉瓣。所有手术均成功，未出现并发症。
