Department of Cardiothoracic Surgery, Helsinki University Hospital, Helsinki, Finland.
Ann Thorac Surg. 2012 Nov;94(5):1718-21. doi: 10.1016/j.athoracsur.2012.03.111.
Catheter-based valve implantation techniques are becoming a viable option in various clinical situations to replace difficult redo open heart surgical procedures. This is a report of a first, to our knowledge, successful valve-in-valve (VinV) transcatheter aortic valve implantation (TAVI) into a homograft through the transaortic (TAo) access route using an Edwards SAPIEN valve prosthesis (Edwards Lifesciences, LLC, Irvine, CA) in a patient with poor left ventricular function and generalized severe atherosclerosis.
经导管瓣膜植入技术在各种临床情况下正成为一种可行的选择,以替代复杂的再次开胸心脏手术。这是首例已知的经主动脉(TAo)入路使用 Edwards SAPIEN 瓣膜假体(爱德华生命科学公司,尔湾,加利福尼亚州)进行经导管主动脉瓣置换术(TAVI)到同种带瓣移植血管内的瓣膜内植入(VinV)术,该患者左心室功能不良且广泛存在严重动脉粥样硬化。