经导管治疗心尖主动脉管道功能障碍

Transcatheter Treatment of Apicoaortic Conduit Dysfunction.

作者信息

Abu Saleh Walid K, Goswami Rajiv, Al Jabbari Odeaa, Barker Colin, Kleiman Neal S, Reardon Michael J, Ramlawi Basel

机构信息

Department of Cardiovascular Surgery, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas.

出版信息

J Card Surg. 2015 Dec;30(12):885-7. doi: 10.1111/jocs.12654. Epub 2015 Oct 6.

DOI:10.1111/jocs.12654

PMID:26440901

Abstract

We report a 77-year-old male patient with a history of aortic valve bypass with an apicoaortic conduit 11 years ago for severe aortic stenosis, presenting with acute decompensated congestive heart failure. Severe conduit valve regurgitation and was successfully treated with transcatheter aortic valve replacement (TAVR) of the native aortic valve using a self-expanding bioprosthesis followed by transcatheter closure of the apicoaortic conduit.

摘要

我们报告了一名77岁男性患者，11年前因严重主动脉瓣狭窄接受了经心尖主动脉管道主动脉瓣旁路手术，现出现急性失代偿性充血性心力衰竭。存在严重的管道瓣膜反流，通过使用自膨胀生物假体对原主动脉瓣进行经导管主动脉瓣置换（TAVR），随后经导管闭合经心尖主动脉管道，成功对其进行了治疗。