Deo Salil, Greason Kevin L, Gulati Rajiv, Jaffe Allan S, Holmes David R
Mayo Clinic, Rochester, MN 55905, USA.
Heart Surg Forum. 2012 Jun;15(3):E177-9. doi: 10.1532/HSF98.20111055.
Aortic valve replacement in the setting of critical aortic valve stenosis with cardiogenic shock is associated with high mortality, yet surgery is the only definitive treatment. We present the case of a patient with critical aortic valve stenosis and cardiogenic shock who received a short period of percutaneous mechanical support and balloon aortic valvuloplasty that resulted in rapid clinical improvement. The patient then underwent uneventful aortic valve replacement. We believe that temporary mechanical circulatory support coupled with balloon aortic valvuloplasty helped to restore hemodynamic stability before surgery, leading to a better outcome.
在伴有心源性休克的严重主动脉瓣狭窄情况下进行主动脉瓣置换术，死亡率很高，但手术是唯一的确定性治疗方法。我们报告了一例严重主动脉瓣狭窄合并心源性休克的患者，该患者接受了短期经皮机械支持和球囊主动脉瓣成形术，临床症状迅速改善。随后患者顺利接受了主动脉瓣置换术。我们认为，临时机械循环支持联合球囊主动脉瓣成形术有助于在手术前恢复血流动力学稳定性，从而带来更好的治疗结果。
