Kiriyama Hiroyuki, Kodera Satoshi, Ando Jiro, Daimon Masao, Morita Hiroyuki, Komuro Issei
Department of Cardiovascular Medicine, The University of Tokyo Hospital.
Int Heart J. 2019 May 30;60(3):768-771. doi: 10.1536/ihj.18-336. Epub 2019 Apr 25.
A 91-year-old woman was admitted to our hospital for treatment of congestive heart failure with severe aortic stenosis. After admission, she developed a high fever due to pneumonia and worsened heart failure. We could not perform transcatheter aortic valve implantation (TAVI) because of active infection; therefore, retrograde balloon aortic valvuloplasty (BAV) was urgently performed. A complete atrioventricular block and severe functional mitral regurgitation appeared suddenly after BAV in the absence of mechanical disorders. Her condition improved after several days in our intensive care unit. Pacemaker implantation and TAVI were then performed, and the patient was discharged from our hospital. MR could sometimes exacerbate after BAV in clinical practice; therefore, we set out to report this case.
一名91岁女性因重度主动脉瓣狭窄伴充血性心力衰竭入住我院治疗。入院后，她因肺炎出现高热，心力衰竭加重。由于存在活动性感染，我们无法进行经导管主动脉瓣植入术（TAVI）；因此，紧急实施了逆行球囊主动脉瓣成形术（BAV）。BAV术后，在没有机械性病变的情况下突然出现完全性房室传导阻滞和严重功能性二尖瓣反流。在我们的重症监护病房治疗几天后，她的病情有所改善。随后进行了起搏器植入和TAVI，患者出院。在临床实践中，BAV术后二尖瓣反流有时会加重；因此，我们特此报告该病例。
