Lim Wayland, Smith Thomas, Rogers Jason H
Division of Cardiovascular Medicine, Department of Medicine, University of California, Davis, California.
Catheter Cardiovasc Interv. 2015 Nov 15;86(6):1136-40. doi: 10.1002/ccd.25958. Epub 2015 Apr 24.
A 47-year-old male underwent surgery for functional bicuspid aortic valve severe regurgitation with a fused right and left coronary cusp. The patient presents nine years after surgical bicuspid aortic valve repair with symptomatic severe aortic regurgitation, diagnosed by TEE and MRI, caused primarily from a perforation located at the base of the surgically fused coronary cusps. The patient had a minimally dilated aortic root that did not yet necessitate surgical intervention. We present a novel percutaneous bicuspid aortic valve perforation repair that potentially decreases the number of surgical operations the patient must undergo during his lifetime.
一名47岁男性因功能性二叶式主动脉瓣严重反流伴左右冠状动脉瓣叶融合而接受手术。该患者在接受二叶式主动脉瓣手术修复九年后出现症状性严重主动脉反流，经经食管超声心动图（TEE）和磁共振成像（MRI）诊断，主要由手术融合的冠状动脉瓣叶基部穿孔引起。患者的主动脉根部仅有轻微扩张，尚未需要手术干预。我们介绍了一种新型的经皮二叶式主动脉瓣穿孔修复术，该方法有可能减少患者一生中必须接受的手术次数。
