经导管主动脉瓣迁移至左心室流出道后行球囊重新定位，随后行瓣中瓣手术。
Balloon Repositioning of Transcatheter Aortic Valve after Migration into the Left Ventricular Outflow Tract, Followed by Valve-in-Valve Procedure.
作者信息
Ito Masaki, Tada Norio, Hata Masaki
出版信息
Tex Heart Inst J. 2017 Aug 1;44(4):274-278. doi: 10.14503/THIJ-16-5958. eCollection 2017 Aug.
Abstract
Transcatheter aortic valve replacement is an established option for treating patients with symptomatic aortic stenosis; however, severe, life-threatening complications, such as valve migration, are possible. We report the case of an 82-year-old woman whose Edwards Sapien XT valve migrated into the left ventricular outflow tract one day after transcatheter aortic valve replacement. We used an inflated balloon to adjust the position of the migrated valve before performing a valve-in-valve procedure via a transapical approach, which resulted in a good valve implantation.
摘要
经导管主动脉瓣置换术是治疗有症状主动脉瓣狭窄患者的既定选择；然而，严重的、危及生命的并发症，如瓣膜移位，是有可能发生的。我们报告一例82岁女性患者，其在经导管主动脉瓣置换术后一天，爱德华兹Sapien XT瓣膜移位至左心室流出道。在经心尖途径进行瓣中瓣手术前，我们使用充气气球调整移位瓣膜的位置，结果瓣膜植入良好。
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