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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.

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。

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