Kawashima Hideyuki, Watanabe Yusuke, Kozuma Ken
Department of Medicine, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, Japan.
Cardiovasc Interv Ther. 2017 Apr;32(2):165-169. doi: 10.1007/s12928-016-0385-1. Epub 2016 Mar 5.
The patient was a 91-year-old woman presenting with severe aortic valve stenosis. Pre-procedural computed tomography scan revealed a 45-mm abdominal aortic aneurysm (AAA). Transfemoral transcatheter aortic valve implantation (TF-TAVI) was performed after endovascular aortic repair (EVAR) of the AAA. The 23-mm Edwards Sapien XT system passed through the aortic stent graft smoothly. This is the first case report showing that successful TF-TAVI can be performed through a prior abdominal aortic stent graft. TF-TAVI after EVAR of AAA is a feasible option for patients with extremely poor access.
该患者为一名91岁女性，患有严重主动脉瓣狭窄。术前计算机断层扫描显示有一个45毫米的腹主动脉瘤（AAA）。在对腹主动脉瘤进行血管内主动脉修复（EVAR）后，实施了经股动脉经导管主动脉瓣植入术（TF-TAVI）。23毫米的爱德华兹Sapien XT系统顺利通过主动脉支架移植物。这是首例表明可通过先前的腹主动脉支架移植物成功实施TF-TAVI的病例报告。对于血管通路极差的患者，AAA的EVAR术后进行TF-TAVI是一种可行的选择。
