Korkmaz Ahmet, Gürsoy Havva Tuğba, İleri Mehmet, Elalmış Özgül Uçar, Güray Ümit
Department of Cardiology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
J Tehran Heart Cent. 2019 Apr;14(2):85-89.
Transcatheter aortic valve implantation (TAVI) has shown favorable outcomes in patients with severe symptomatic aortic valve stenosis who are at high surgical risk or who are unsuitable candidates for open-heart surgery. However, concerns exist over treating patients who have undergone previous mitral valve surgery due to the potential interference between the mitral prosthetic valve or ring and the TAVI device. In this case report, we present a case in which a patient with symptomatic severe aortic stenosis and previous mechanical mitral valve replacement was successfully treated with TAVI using a Portico valve, which is under-researched
经导管主动脉瓣植入术（TAVI）已在外科手术风险高或不适合进行心脏直视手术的有症状重度主动脉瓣狭窄患者中显示出良好疗效。然而，对于曾接受二尖瓣手术的患者进行治疗存在担忧，因为二尖瓣人工瓣膜或瓣环与TAVI装置之间可能存在干扰。在本病例报告中，我们介绍了一例有症状重度主动脉瓣狭窄且曾接受机械二尖瓣置换术的患者，使用研究较少的Portico瓣膜成功接受TAVI治疗的病例。
