Department of Cardiothoracic and Vascular Surgery, Kepler University Hospital, Medical Faculty Johannes Kepler University Linz, Linz, Austria.
Department of Cardiology, Kepler University Hospital, Medical Faculty Johannes Kepler University Linz, Linz, Austria.
Ann Thorac Surg. 2021 Sep;112(3):968-969. doi: 10.1016/j.athoracsur.2021.01.012. Epub 2021 Jan 20.
Transcatheter aortic valve replacement is a well-established therapy for severe aortic stenosis in patients with high surgical risk. Transcatheter mitral valve replacement just recently emerged as a novel modality to treat severe mitral regurgitation. We present the first case of a transcatheter, transapical native double valve replacement for severe aortic stenosis and mitral regurgitation. Our case shows that it is a safe and effective method, not requiring cardiopulmonary bypass and drastically reducing the procedural time. Therefore, patients with significant comorbidities that portend a high surgical risk with poor long-term outcome, may stand to benefit from this minimally invasive procedure.
经导管主动脉瓣置换术是一种成熟的治疗高危患者严重主动脉瓣狭窄的方法。经导管二尖瓣置换术最近刚刚出现，是一种治疗严重二尖瓣反流的新方法。我们报告首例经导管、经心尖、原生双瓣置换术治疗严重主动脉瓣狭窄和二尖瓣反流。我们的病例表明，这是一种安全有效的方法，不需要体外循环，并大大缩短了手术时间。因此，对于那些存在严重合并症、手术风险高、长期预后差的患者，这种微创方法可能会使他们受益。
