与对半乳糖-α-1,3-半乳糖过敏相关的生物人工主动脉瓣过早退变
Premature Bioprosthetic Aortic Valve Degeneration Associated with Allergy to Galactose-Alpha-1,3-Galactose.
作者信息
Hawkins Robert B, Frischtak Helena L, Kron Irving L, Ghanta Ravi K
机构信息
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, Virginia.
出版信息
J Card Surg. 2016 Jul;31(7):446-8. doi: 10.1111/jocs.12764. Epub 2016 May 30.
Abstract
We present the cases of two patients with bioprosthetic aortic valves who developed an allergy to alpha-gal. Each had premature degeneration of their bioprosthesis and demonstrated rapidly increasing transvalvular gradients after development of their allergy. Each underwent successful replacement with a mechanical aortic valve within 1-2 years of symptom onset. doi: 10.1111/jocs.12764 (J Card Surg 2016;31:446-448).
摘要
我们报告了两例生物人工主动脉瓣患者对α-半乳糖过敏的病例。每位患者的生物人工瓣膜均出现过早退化，且在过敏发生后跨瓣膜梯度迅速增加。每位患者在症状出现后的1 - 2年内均成功接受了机械主动脉瓣置换术。doi: 10.1111/jocs.12764（《心脏外科杂志》2016年；31:446 - 448）
相似文献
1
Premature Bioprosthetic Aortic Valve Degeneration Associated with Allergy to Galactose-Alpha-1,3-Galactose.
J Card Surg. 2016 Jul;31(7):446-8. doi: 10.1111/jocs.12764. Epub 2016 May 30.
2
Safe Implantation of a Bovine Bioprosthetic Aortic Valve in a Patient With Galactose-α-1,3-Galactose Allergy.
Ann Thorac Surg. 2024 Oct;118(4):950-952. doi: 10.1016/j.athoracsur.2024.06.033. Epub 2024 Jul 11.
3
Patient-prosthesis mismatch in patients undergoing bioprosthetic aortic valve implantation increases risk of reoperation for structural valve deterioration.
J Card Surg. 2014 Jul;29(4):439-44. doi: 10.1111/jocs.12345. Epub 2014 Apr 29.
4
Survival and long-term outcomes following bioprosthetic vs mechanical aortic valve replacement in patients aged 50 to 69 years.
JAMA. 2014 Oct 1;312(13):1323-9. doi: 10.1001/jama.2014.12679.
5
Challenging transfemoral valve-in-valve implantation in a degenerated stentless bioprosthetic aortic valve.
J Invasive Cardiol. 2014 Aug;26(8):E106-8.
6
Ten-year comparison of pericardial tissue valves versus mechanical prostheses for aortic valve replacement in patients younger than 60 years of age.
J Thorac Cardiovasc Surg. 2012 Nov;144(5):1075-83. doi: 10.1016/j.jtcvs.2012.01.024. Epub 2012 Feb 17.
7
[Early calcification of bioprosthetic valve in a hemodialysis patient with secondary hyperparathyroidism;report of a case].
Kyobu Geka. 2013 Aug;66(9):833-6.
8
Transapical valve-in-valve implantation for regurgitant stented aortic bioprostheses.
J Heart Valve Dis. 2012 May;21(3):344-9.
9
Transcatheter valve-in-valve replacement of degenerated bioprosthetic aortic valves: a single Australian Centre experience.
Cardiovasc Revasc Med. 2014 Nov-Dec;15(8):388-92. doi: 10.1016/j.carrev.2014.10.004. Epub 2014 Oct 29.
10
Nonbacterial thrombotic endocarditis of a bioprosthetic valve: Questions to ponder before replacement of the valve.
J Card Surg. 2020 May;35(5):1142-1144. doi: 10.1111/jocs.14536. Epub 2020 Apr 10.
引用本文的文献
1
Alpha-Gal Syndrome: Often Hidden, Under-Recognized, and in Need of Attention-A Rapid Review.
Int J Gen Med. 2025 Jun 27;18:3477-3488. doi: 10.2147/IJGM.S519844. eCollection 2025.
2
The Immunology of Alpha-Gal Syndrome: History, Tick Bites, IgE, and Delayed Anaphylaxis to Mammalian Meat.
Immunol Rev. 2025 Jul;332(1):e70035. doi: 10.1111/imr.70035.
3
Perioperative Outcomes After Bioprosthetic Valve Replacement in Patients Sensitized to Alpha-Gal.
Ann Thorac Surg Short Rep. 2024 Jul 26;3(1):264-268. doi: 10.1016/j.atssr.2024.07.012. eCollection 2025 Mar.
4
Management of Food Allergies and Food-Related Anaphylaxis.
JAMA. 2024 Feb 13;331(6):510-521. doi: 10.1001/jama.2023.26857.
5
The α-Gal epitope - the cause of a global allergic disease.
Front Immunol. 2024 Jan 22;15:1335911. doi: 10.3389/fimmu.2024.1335911. eCollection 2024.
6
Tick bites, IgE to galactose-alpha-1,3-galactose and urticarial or anaphylactic reactions to mammalian meat: The alpha-gal syndrome.
Allergy. 2024 Jun;79(6):1440-1454. doi: 10.1111/all.16003. Epub 2024 Jan 9.
7
Revisiting aortic valve prosthesis choice in patients younger than 50 years: 10 years results of the AUTHEARTVISIT study.
Eur J Cardiothorac Surg. 2024 Jan 2;65(1). doi: 10.1093/ejcts/ezad308.
8
Early and midterm outcomes of a bentall operation using an all-biological valved BioConduit™.
J Cardiothorac Surg. 2022 Dec 19;17(1):325. doi: 10.1186/s13019-022-02073-5.
9
Inflammatory immune response in recipients of transcatheter aortic valves.
JTCVS Open. 2021 Mar 12;6:85-96. doi: 10.1016/j.xjon.2021.02.012. eCollection 2021 Jun.
10
Commentary: From Old World monkeys to New World humans-Evolved protection from tick bites and bioprosthetic material.
JTCVS Open. 2021 Apr 1;6:97-98. doi: 10.1016/j.xjon.2021.03.019. eCollection 2021 Jun.
本文引用的文献
1
Porcine or bovine valve replacement in 3 patients with IgE antibodies to the mammalian oligosaccharide galactose-alpha-1,3-galactose.
J Allergy Clin Immunol Pract. 2014 Sep-Oct;2(5):637-638. doi: 10.1016/j.jaip.2014.04.016. Epub 2014 Jul 25.
2
A deadly aversion to pork.
Lancet. 2011 Apr 30;377(9776):1542. doi: 10.1016/S0140-6736(11)60021-4.
3
The relevance of tick bites to the production of IgE antibodies to the mammalian oligosaccharide galactose-α-1,3-galactose.
J Allergy Clin Immunol. 2011 May;127(5):1286-93.e6. doi: 10.1016/j.jaci.2011.02.019. Epub 2011 Mar 31.
4
Delayed anaphylaxis, angioedema, or urticaria after consumption of red meat in patients with IgE antibodies specific for galactose-alpha-1,3-galactose.
J Allergy Clin Immunol. 2009 Feb;123(2):426-33. doi: 10.1016/j.jaci.2008.10.052. Epub 2008 Dec 13.
5
Alpha-Gal on bioprostheses: xenograft immune response in cardiac surgery.
Eur J Clin Invest. 2005 Jan;35(1):17-23. doi: 10.1111/j.1365-2362.2005.01441.x.
Zotero 插件