经导管植入的主动脉瓣假体的外科取出是可行且容易的。

Surgical Explantation of a Transcatheter-Implanted Aortic Valve Prosthesis Is Feasible and Easy.

机构信息

Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain; Heart Area, Central University Hospital of Aturias, Oviedo, Spain.

Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain; Heart Area, Central University Hospital of Aturias, Oviedo, Spain; Faculty of Medicine, University of Oviedo, Oviedo, Spain.

出版信息

Ann Thorac Surg. 2019 Sep;108(3):e173-e174. doi: 10.1016/j.athoracsur.2019.01.035. Epub 2019 Feb 19.

DOI:10.1016/j.athoracsur.2019.01.035

PMID:30794783

Abstract

This report describes a clinical case of a degenerated CoreValve (Medtronic, Minneapolis, MN) aortic prosthesis in a 59-year-old patient. Videos of a previously described surgical technique for late surgical explantation of a CoreValve are provided. This operation is feasible and easy to perform, partly because of the absence of adhesions at the coronary ostia. This report also comments on the controversy between mechanical and biologic prostheses in patients undergoing renal dialysis.

摘要

本报告描述了一位 59 岁患者退行性 CoreValve（美敦力，明尼苏达州明尼阿波利斯）主动脉假体的临床病例。提供了先前描述的 CoreValve 晚期外科取出术的手术技术视频。该手术可行且易于操作，部分原因是冠状动脉口无粘连。本报告还对接受肾透析的患者使用机械和生物假体之间的争议进行了评论。