Cho Sung Woo, Kim Byung Gyu, Park Taek Kyu, Choi Seung-Hyuk, Gwon Hyeon-Cheol, Park Sung-Ji, Nah Jong Chun
Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Seoul Paik Hospital, Seoul, South Korea.
Division of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
J Cardiol Cases. 2019 Feb 10;19(4):133-135. doi: 10.1016/j.jccase.2018.12.011. eCollection 2019 Apr.
Transcatheter aortic valve replacement (TAVR) is widely performed in patients with severe aortic stenosis (AS), having a high surgical risk. However, reports of TAVR performed in patients with anomalous coronary arteries are rare. In existing literature, several complications including coronary obstruction are reported. In this study, we report a 77-year-old female patient with severe AS and anomalous origin of the left coronary artery from the right coronary sinus, who successfully underwent TAVR. < During transcatheter aortic valve replacement in patients with anomalous coronary arteries, special attention might be given to the topographical location of the coronary artery from the aortic root and the implanted valve for preventing a coronary obstruction.>.
经导管主动脉瓣置换术（TAVR）广泛应用于具有高手术风险的严重主动脉瓣狭窄（AS）患者。然而，关于在冠状动脉异常患者中进行TAVR的报道很少。在现有文献中，报道了包括冠状动脉阻塞在内的几种并发症。在本研究中，我们报告了一名77岁患有严重AS且左冠状动脉起源于右冠状动脉窦异常的女性患者，她成功接受了TAVR。<在冠状动脉异常患者的经导管主动脉瓣置换术中，可能需要特别关注冠状动脉在主动脉根部的位置以及植入瓣膜的位置，以防止冠状动脉阻塞。>
