经导管主动脉瓣置换术治疗右冠状动脉异常起源患者。
Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery.
机构信息
Cardiology Unit, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.
出版信息
Catheter Cardiovasc Interv. 2011 Dec 1;78(7):1013-6. doi: 10.1002/ccd.23012. Epub 2011 Oct 5.
We describe the first case of implantation of a transcatheter aortic valve implantation (TAVI) in a patient with an anomalous origin of the right coronary artery, coursing in between the aorta and pulmonary truncus to the right. After assessment of the risk of compression of the anomalous origin of the right coronary artery from the left coronary sinus (ARCA), the procedure was performed without complication. A brief discussion of the pathophysiology of ARCA is provided and the implications for TAVI as well as our recommendations are offered.
我们描述了首例经导管主动脉瓣植入术（TAVI）在右冠状动脉异常起源患者中的应用，该患者的右冠状动脉起源于主动脉和肺动脉干之间的右侧。在评估左冠状动脉窦对异常起源的右冠状动脉（ARCA）的压迫风险后，该手术顺利完成，无并发症。本文简要讨论了 ARCA 的病理生理学，并探讨了其对 TAVI 的影响及我们的建议。
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