Sauer Andrew J, Davidson Charles J, McGee Edwin C
Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Division of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Catheter Cardiovasc Interv. 2015 Aug;86(2):E103-6. doi: 10.1002/ccd.25584. Epub 2014 Jul 10.
Aortic insufficiency (AI) following rotary left ventricular assist device (LVAD) implantation is an increasingly common problem with inadequately defined treatment options. Percutaneous transcatheter (PTC) closure of the aortic valve (AV) has been described as a potential nonsurgical approach. Alternatively, we present a case of decompensated heart failure due to de novo severe AI following LVAD in which successful PTC closure of the AV resolved the severe AI and allowed for clinical recovery and stability for more than 10 months as a bridge to heart transplantation.
旋转式左心室辅助装置（LVAD）植入术后的主动脉瓣关闭不全（AI）是一个日益常见的问题，其治疗方案尚不明确。经皮经导管（PTC）关闭主动脉瓣（AV）已被描述为一种潜在的非手术方法。另外，我们报告了1例LVAD植入术后因新发严重AI导致失代偿性心力衰竭的病例，其中成功的PTC关闭AV解决了严重AI问题，并使患者作为心脏移植的过渡在临床康复且保持稳定状态超过10个月。
