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在一名患有主动脉根部瘤和严重主动脉瓣反流的患者中进行两枚自膨胀经导管主动脉瓣的“瓣中瓣”植入：“一种新的经导管主动脉瓣置换术选择”

"Valve in valve" implantation of two self-expandable transcatheter aortic valves in a patient with aortic root aneurysm and massive aortic regurgitation: "a new TAVI option".

作者信息

Pesarini Gabriele, Bedogni Francesco, Ribichini Flavio

机构信息

Department of Medicine, University of Verona Medical School, Verona, Italy.

出版信息

Catheter Cardiovasc Interv. 2014 Apr 1;83(5):836-40. doi: 10.1002/ccd.25194. Epub 2013 Oct 23.

DOI:10.1002/ccd.25194
PMID:24038951
Abstract

Catheter-based treatment of aortic regurgitation (AR) often proves challenging especially due to associated anatomical difficulties. Here, we present a case of CoreValve implantation with a novel use of the valve-in-valve technique to effectively treat severe AR in a patient with repeated cardiac surgery and aneurismatic prosthetic ascending aorta.

摘要

基于导管的主动脉瓣反流（AR）治疗往往颇具挑战性，尤其是由于相关的解剖学难题。在此，我们报告一例采用新型瓣中瓣技术植入CoreValve瓣膜，成功治疗一名接受过多次心脏手术且患有升主动脉瘤样人工血管的严重AR患者的病例。

相似文献

1
"Valve in valve" implantation of two self-expandable transcatheter aortic valves in a patient with aortic root aneurysm and massive aortic regurgitation: "a new TAVI option".在一名患有主动脉根部瘤和严重主动脉瓣反流的患者中进行两枚自膨胀经导管主动脉瓣的“瓣中瓣”植入：“一种新的经导管主动脉瓣置换术选择”
Catheter Cardiovasc Interv. 2014 Apr 1;83(5):836-40. doi: 10.1002/ccd.25194. Epub 2013 Oct 23.
2
Compassionate use of the self-expandable medtronic CoreValve prosthesis for the treatment of pure aortic regurgitation in a patient at prohibitive risk for surgical valve replacement.经导管自膨式美敦力 CoreValve 瓣膜系统在高危外科瓣膜置换术患者中的纯主动脉瓣反流的应用。
Catheter Cardiovasc Interv. 2013 Dec 1;82(7):E939-43. doi: 10.1002/ccd.24763. Epub 2013 Jul 9.
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Transcarotid aortic valve-in-valve implantation for degenerated stentless aortic root conduits with severe regurgitation: a case series.经颈动脉主动脉瓣中瓣植入术治疗严重反流的退化性无支架主动脉根部管道：病例系列
Interact Cardiovasc Thorac Surg. 2015 Jun;20(6):694-700. doi: 10.1093/icvts/ivv053. Epub 2015 Mar 15.
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Difficulties with horizontal aortic root in transcatheter aortic valve implantation.经导管主动脉瓣植入术中主动脉根部横径困难。
Catheter Cardiovasc Interv. 2013 Mar;81(4):630-5. doi: 10.1002/ccd.24378. Epub 2012 May 4.
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CoreValve degeneration with severe transvalvular aortic regurgitation treated with valve-in-valve implantation.采用瓣中瓣植入术治疗伴有严重经瓣主动脉反流的CoreValve瓣膜退变。
JACC Cardiovasc Interv. 2014 Jul;7(7):e71-2. doi: 10.1016/j.jcin.2013.10.031. Epub 2014 Jun 18.
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Transcatheter aortic valve implantation for severe, non-calcified aortic regurgitation and narrow aortic root: description from a case report of a new approach to potentially avoid coronary artery obstruction.经导管主动脉瓣植入术治疗严重非钙化性主动脉瓣反流和主动脉根部狭窄：来自一个新方法的病例报告，以潜在避免冠状动脉阻塞。
Catheter Cardiovasc Interv. 2013 Aug 1;82(2):E124-7. doi: 10.1002/ccd.24541. Epub 2012 Nov 14.
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Initial German experience with transapical implantation of a second-generation transcatheter heart valve for the treatment of aortic regurgitation.德国初步经验：经心尖植入第二代经导管心脏瓣膜治疗主动脉瓣反流。
JACC Cardiovasc Interv. 2014 Oct;7(10):1168-74. doi: 10.1016/j.jcin.2014.05.014. Epub 2014 Aug 13.
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Early experience of implantation of the new CoreValve(®) Evolut(™) in degenerated bioprosthetic aortic valves.新型 CoreValve(®) Evolut(™) 在退行性生物瓣主动脉瓣中的植入早期经验。
Catheter Cardiovasc Interv. 2014 Feb 15;83(3):485-92. doi: 10.1002/ccd.25125. Epub 2013 Aug 8.
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Transapical implantation of a second-generation transcatheter heart valve in patients with noncalcified aortic regurgitation.经心尖植入第二代经导管心脏瓣膜治疗无钙化主动脉瓣反流患者。
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Transapical aortic valve (JenaValve) implantation for severe aortic insufficiency and aortic aneurysm.经心尖主动脉瓣（耶拿瓣膜）植入术治疗严重主动脉瓣关闭不全和主动脉瘤。
J Thorac Cardiovasc Surg. 2013 Oct;146(4):e40-1. doi: 10.1016/j.jtcvs.2013.05.029. Epub 2013 Jul 13.

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