Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Ann Thorac Surg. 2020 Jan;109(1):e17-e19. doi: 10.1016/j.athoracsur.2019.04.104. Epub 2019 Jun 21.
Transcatheter aortic valve replacement (TAVR) has become an equivalent alternative to surgical aortic valve replacement also in patients at low surgical risk. Prosthetic valve endocarditis after TAVR (TAVR-PVE) is a dangerous complication with the highest mortality rate among endocarditis patients. Only a minority of patients receive surgical treatment of TAVR-PVE. We present a case of surgical treatment of TAVR-PVE in a 75-year-old patient. The success of the treatment is based on the reduction of the operative trauma and length of the procedure with the use of minimally invasive right-sided thoracotomy and the Perceval sutureless aortic valve prosthesis (LivaNova, London, United Kingdom).
经导管主动脉瓣置换术（TAVR）已成为低手术风险患者主动脉瓣置换术的等效替代方法。TAVR 后人工瓣膜心内膜炎（TAVR-PVE）是一种危险的并发症，在心内膜炎患者中死亡率最高。只有少数患者接受 TAVR-PVE 的手术治疗。我们报告了一例 75 岁患者 TAVR-PVE 的手术治疗。治疗的成功基于微创手术右侧开胸术和 Perceval 无缝线主动脉瓣假体（LivaNova，伦敦，英国）的使用，降低了手术创伤和手术时间。
