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经心尖主动脉瓣植入术——主动脉瓣狭窄伴“瓷主动脉”患者的抢救治疗方法

Transapical aortic valve implantation - a rescue procedure for patients with aortic stenosis and "porcelain aorta".

机构信息

Institute of Cardiology, Warsaw, Poland.

出版信息

Arch Med Sci. 2011 Jun;7(3):528-32. doi: 10.5114/aoms.2011.23425. Epub 2011 Jul 11.

DOI:10.5114/aoms.2011.23425
PMID:22295040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3258736/
Abstract

Surgical aortic valve replacement (AVR) still remains the treatment of choice in symptomatic significant aortic stenosis (AS). Due to technical problems, extensive calcification of the ascending aorta ("porcelain aorta") is an additional risk factor for surgery and transapical aortic valve implantation (TAAVI) is likely to be the only rescue procedure for this group of patients. We describe the case of an 81-year-old woman with severe AS and "porcelain aorta", in whom the only available life-saving intervention was TAAVI.

摘要

外科主动脉瓣置换术（AVR）仍然是有症状的严重主动脉瓣狭窄（AS）的首选治疗方法。由于技术问题，升主动脉广泛钙化（“瓷主动脉”）是手术的另一个危险因素，经心尖主动脉瓣植入术（TAAVI）可能是这群患者唯一的抢救程序。我们描述了一位 81 岁的女性患者，患有严重的 AS 和“瓷主动脉”，唯一可行的救命干预措施是 TAAVI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/6744a1a94666/AMS-7-3-528_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/297eca0652d0/AMS-7-3-528_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/9b25965a1e22/AMS-7-3-528_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/5ff20de6f496/AMS-7-3-528_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/541a038594fc/AMS-7-3-528_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/6744a1a94666/AMS-7-3-528_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/297eca0652d0/AMS-7-3-528_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/9b25965a1e22/AMS-7-3-528_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/5ff20de6f496/AMS-7-3-528_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/541a038594fc/AMS-7-3-528_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c7/3258736/6744a1a94666/AMS-7-3-528_F5.jpg

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Aortic valve bypass surgery: midterm clinical outcomes in a high-risk aortic stenosis population.主动脉瓣旁路手术：高危主动脉狭窄人群的中期临床结果
Circulation. 2008 Sep 30;118(14):1460-6. doi: 10.1161/CIRCULATIONAHA.108.790030. Epub 2008 Sep 15.
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United States feasibility study of transcatheter insertion of a stented aortic valve by the left ventricular apex.
低剂量多巴酚丁胺超声心动图在主动脉瓣狭窄伴左心室功能障碍患者中的预后价值。
Arch Med Sci. 2013 Jun 20;9(3):434-9. doi: 10.5114/aoms.2013.35422. Epub 2013 May 28.
经左心室尖部经导管置入带支架主动脉瓣在美国的可行性研究。
Ann Thorac Surg. 2008 Jul;86(1):46-54; discussion 54-5. doi: 10.1016/j.athoracsur.2008.04.049.
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Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI).经导管主动脉瓣植入术治疗主动脉瓣狭窄患者：欧洲心胸外科学会（EACTS）、欧洲心脏病学会（ESC）与欧洲经皮心血管介入协会（EAPCI）联合发布的立场声明
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