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本文引用的文献

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3-Year Outcomes After Valve-in-Valve Transcatheter Aortic Valve Replacement for Degenerated Bioprostheses: The PARTNER 2 Registry.经导管主动脉瓣置换术治疗退行性生物瓣衰败的 3 年结果：PARTNER 2 注册研究。
J Am Coll Cardiol. 2019 Jun 4;73(21):2647-2655. doi: 10.1016/j.jacc.2019.03.483.
2
Aortic Valve Predilatation with a Small Balloon, without Rapid Pacing, prior to Transfemoral Transcatheter Aortic Valve Replacement.经股动脉入路主动脉瓣置换术前行小球囊预扩张，无需快速起搏。
Biomed Res Int. 2018 Apr 30;2018:1080597. doi: 10.1155/2018/1080597. eCollection 2018.
3
Left Atrial Appendage Thrombus in Transcatheter Aortic Valve Replacement: Incidence, Clinical Impact, and the Role of Cardiac Computed Tomography.经导管主动脉瓣置换术后左心耳血栓：发生率、临床影响和心脏计算机断层扫描的作用。
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4
Transcatheter Aortic and Mitral Valve-in-Valve Implantation for Failed Surgical Bioprosthetic Valves: An 8-Year Single-Center Experience.经导管主动脉瓣和二尖瓣瓣中瓣植入治疗失败的外科生物瓣：一项 8 年单中心经验。
JACC Cardiovasc Interv. 2015 Nov;8(13):1735-44. doi: 10.1016/j.jcin.2015.08.012. Epub 2015 Oct 14.
5
Effect of valve design on the stent internal diameter of a bioprosthetic valve: a concept of true internal diameter and its implications for the valve-in-valve procedure.瓣架设计对生物瓣支架内径的影响：真实内径的概念及其对瓣中瓣手术的意义。
JACC Cardiovasc Interv. 2014 Feb;7(2):115-127. doi: 10.1016/j.jcin.2013.10.012. Epub 2014 Jan 15.
6
Feasibility and safety of transfemoral implantation of Edwards SAPIEN XT prosthesis without balloon valvuloplasty in severe stenosis of native aortic valve.在严重的天然主动脉瓣狭窄中不进行球囊瓣膜成形术经股动脉植入Edwards SAPIEN XT人工瓣膜的可行性和安全性。
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7
Transcatheter versus surgical aortic-valve replacement in high-risk patients.经导管主动脉瓣置换术与外科主动脉瓣置换术在高危患者中的比较。
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在一名患有左心耳血栓的患者中采用瓣中瓣技术进行主动脉瓣置换。

Aortic valve replacement using valve-in-valve procedure in a patient with left atrial appendage thrombus.

作者信息

Erdoğan Mehmet, Bozkurt Engin

机构信息

Department of Cardiology, Ankara City Hospital, Ankara, Turkey.

Department of Cardiology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jan 23;28(1):205-208. doi: 10.5606/tgkdc.dergisi.2020.18613. eCollection 2020 Jan.

DOI:10.5606/tgkdc.dergisi.2020.18613
PMID:32175164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7067005/
Abstract

In recent years, indications and age range of patients who are eligible for transcatheter aortic valve replacement have been increasingly extended. The presence of a thrombus in the left atrial appendage is an exclusion criterion in many studies using transcatheter aortic valve replacement. An 86-year-old male patient was admitted with symptomatic severe aortic stenosis secondary to degeneration of a 22-mm bioprosthetic valve implanted 14 years ago. Transesophageal echocardiography revealed a thrombus in the left atrial appendage and it was confirmed by contrast-enhanced computed tomography. The balloon-expandable valve was successfully implanted into the degenerated aortic bioprosthesis. In conclusion, we aimed to show that valve-in-valve transcatheter aortic valve replacement can be performed in a patient with thrombus in the left atrial appendage.

摘要

近年来，适合经导管主动脉瓣置换术的患者的适应症和年龄范围不断扩大。在许多使用经导管主动脉瓣置换术的研究中，左心耳血栓的存在是一项排除标准。一名86岁男性患者因14年前植入的22毫米生物瓣膜退变继发症状性严重主动脉瓣狭窄入院。经食管超声心动图显示左心耳有血栓，对比增强计算机断层扫描证实了这一点。球囊扩张瓣膜成功植入退变的主动脉生物瓣膜中。总之，我们旨在表明，左心耳有血栓的患者也可以进行瓣中瓣经导管主动脉瓣置换术。