Non-Invasive Cardiology Unit, Cardio Center, Humanitas Research Hospital, Rozzano, Milano, Italy.
Interventional Cardiology Unit, Cardio Center, Humanitas Research Hospital, Rozzano, Milano, Italy.
Can J Cardiol. 2019 Jul;35(7):940.e13-940.e16. doi: 10.1016/j.cjca.2019.04.020. Epub 2019 Apr 29.
The incidental finding of a severe occlusive disease of the aorta (coral reef aorta) during the assessment for transcatheter aortic valve replacement in a 75-year-old woman with severe aortic stenosis complicated the process for the Heart Team and led to the consideration of a different access route to find the safest and most appropriate strategy of intervention. A successful transapical transcatheter aortic valve replacement was eventually performed. Coral reef aorta, although rare, is associated with great morbidity and mortality, and it needs to be recognized when planning for intravascular procedures, both for a safer selection of treatment approach and for the prevention of intraprocedural and postprocedural morbidities.
在一位 75 岁患有严重主动脉瓣狭窄的女性接受经导管主动脉瓣置换术评估期间，偶然发现严重主动脉阻塞性疾病（珊瑚礁样主动脉），这给心脏团队的评估带来了困难，并促使他们考虑采用不同的入路来寻找最安全、最合适的介入策略。最终成功进行了经心尖的经导管主动脉瓣置换术。珊瑚礁样主动脉虽然罕见，但与高发病率和死亡率相关，在计划血管内操作时需要识别它，以便更安全地选择治疗方法，并预防术中及术后并发症。
