在极度迂曲的S形主动脉中进行经导管主动脉瓣植入术。
Transcatheter Aortic Valve Implantation in an Extremely Tortuous S-Shaped Aorta.
作者信息
Liu Shuangbo, Toleva Olga, Ravandi Amir, Pozeg Zlatko, Menkis Alan, Kass Malek
机构信息
Section of Cardiology, St. Boniface Hospital, University of Manitoba, Winnipeg, MB, Canada.
Section of Cardiac Surgery, St. Boniface Hospital, University of Manitoba, Winnipeg, MB, Canada.
出版信息
Case Rep Cardiol. 2017;2017:2936513. doi: 10.1155/2017/2936513. Epub 2017 Mar 2.
Transcatheter aortic valve implantation (TAVI) has emerged as an alternative technique to treating aortic stenosis in patients with high surgical risk. We present a case of a successful transfemoral TAVI in a high-risk patient with an extremely tortuous iliofemoral system and a significant S-type bend in the descending aorta. With careful preprocedure planning and using all the techniques available, TAVI can be performed in the most challenging patients.
经导管主动脉瓣植入术（TAVI）已成为治疗手术风险高的主动脉瓣狭窄患者的一种替代技术。我们报告一例在一名具有极迂曲的髂股血管系统且降主动脉有明显S型弯曲的高风险患者中成功进行经股动脉TAVI的病例。通过仔细的术前规划并运用所有可用技术，TAVI可在极具挑战性的患者中实施。
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