Department of Internal Medicine, University of Virginia Health System, Rochester, Minnesota.
Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E141-5. doi: 10.1002/ccd.24993. Epub 2013 Jul 1.
Acute hemodynamic compromise due to severe aortic regurgitation remains a difficult problem. The optimal management strategy and timing of surgery continues to evolve as new technologies become available. Here, we report the case of a young woman presenting with severe regurgitation of an aortic homograft who developed precipitous cardiogenic shock and multi-organ dysfunction. Her mortality risk with emergent surgery was prohibitive, and no percutaneous valve-in-valve device was available. We stabilized her condition by placing an Amplatz-type Atrial Septal Defect (ASD) occluder across her aortic valve in conjunction with a percutaneous left ventricular assist device as a bridge to surgical valve replacement. She went on to a successful surgery and recovered well.
急性血流动力学障碍导致严重主动脉瓣反流仍然是一个难题。随着新技术的出现，手术的最佳管理策略和时机仍在不断发展。在这里，我们报告了一例年轻女性因主动脉同种异体移植物严重反流导致心源性休克和多器官功能障碍的病例。她的紧急手术死亡率很高，而且没有可用的经皮瓣中瓣装置。我们通过在她的主动脉瓣上放置 Amplatz 型房间隔缺损（ASD）封堵器，并结合经皮左心室辅助装置作为手术瓣膜置换的桥接来稳定她的病情。她成功地接受了手术，恢复良好。
