探讨经导管主动脉瓣置换术治疗二叶式主动脉瓣患者的最佳植入高度：病例系列研究。
Looking for Optimal Implantation Height in Bicuspid Aortic Valve Patients Undergoing Transcatheter Aortic Valve Implantation: A Case Series.
机构信息
Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy.
3rd Department of Cardiology, Interventional Cardiology & Valvulopathy, Athens, Greece.
出版信息
Cardiovasc Revasc Med. 2020 Nov;21(11S):25-27. doi: 10.1016/j.carrev.2020.01.019. Epub 2020 Jan 30.
TAVR in bicuspid aortic valve (BAV) represents a challenging scenario. Valve sizing and positioning are the most important determinants of procedural success. In BAV the maximal prosthesis-anatomy interference occurs at the supra-annular level. Supra-annular prosthesis implantation may improve valve sealing and hemodynamic result. In this case series, we propose a new site for prosthesis implantation, guided CT scan supra-annular sizing for BAV undergoing TAVR.
经导管主动脉瓣置换术（TAVR）在二叶式主动脉瓣（BAV）中代表了一种具有挑战性的情况。瓣膜尺寸和定位是手术成功的最重要决定因素。在 BAV 中，最大的假体-解剖结构干扰发生在上瓣环水平。瓣上环植入假体可改善瓣膜密封和血流动力学效果。在本病例系列中，我们提出了一种新的假体植入部位，并对行 TAVR 的 BAV 进行 CT 引导的瓣上环尺寸测量。
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