Aydin Unal, Gul Mehmet, Aslan Serkan, Akkaya Emre, Yildirim Aydin
Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic-Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
Department ofCardiology, Istanbul Mehmet Akif Ersoy Thoracic-Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
Heart Surg Forum. 2015 Apr 28;18(2):E053-5. doi: 10.1532/hsf.1238.
Transcatheter valve implantation is a novel interventional technique, which was developed as an alternative therapy for surgical aortic valve replacement in inoperable patients with severe aortic stenosis. Despite limited experience in using transcatheter valve implantation for mitral and aortic regurgitation, transapical transcatheter aortic valve implantation and valve-in-valve implantation for degenerated mitral valve bioprosthesis can be performed in high-risk patients who are not candidates for conventional replacement surgery. In this case, we present the simultaneous transcatheter valve implantation via transapical approach for both degenerated bioprosthetic mitral valve with severe regurgitation and pure severe aortic regurgitation.
经导管瓣膜植入术是一种新型介入技术，它是作为严重主动脉瓣狭窄无法手术的患者进行外科主动脉瓣置换的替代疗法而开发的。尽管经导管瓣膜植入术用于二尖瓣和主动脉瓣反流的经验有限，但对于不适合传统置换手术的高危患者，可以进行经心尖经导管主动脉瓣植入术以及用于退化二尖瓣生物假体的瓣中瓣植入术。在本病例中，我们展示了通过经心尖途径同时进行经导管瓣膜植入术，用于治疗伴有严重反流的退化生物假体二尖瓣和单纯严重主动脉瓣反流。
