Pal Jay D, McCabe James M, Dardas Todd, Aldea Gabriel S, Mokadam Nahush A
Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington .
Division of Cardiology, Department of Surgery, University of Washington, Seattle, Washington.
J Card Surg. 2016 Oct;31(10):654-657. doi: 10.1111/jocs.12814. Epub 2016 Aug 3.
The development of new aortic insufficiency after a period of support with a left ventricular assist device can result in progressive heart failure symptoms. Transcatheter aortic valve repair can be an effective treatment in selected patients, but the lack of aortic valve calcification can result in unstable prostheses or paravalvular leak. We describe a technique of deploying a self-expanding CoreValve (Medtronic, Minneapolis, MN, USA) into the aortic annulus, followed by a balloon-expandable SAPIEN-3 (Edwards, Irvine, CA, USA).
在使用左心室辅助装置支持一段时间后出现新的主动脉瓣关闭不全，可导致进行性心力衰竭症状。经导管主动脉瓣修复术对部分患者可能是一种有效的治疗方法，但缺乏主动脉瓣钙化可能导致人工瓣膜不稳定或瓣周漏。我们描述了一种将自膨胀式CoreValve（美敦力公司，美国明尼苏达州明尼阿波利斯）置入主动脉瓣环，随后再置入球囊扩张式SAPIEN-3（爱德华兹公司，美国加利福尼亚州欧文）的技术。
