Hirofuji Aina, Kanda Hirotsugu, Kitani Yuya, Kamiya Hiroyuki
Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.
Department of Anesthesiology, Asahikawa Medical University, Asahikawa, Japan.
Thorac Cardiovasc Surg Rep. 2021 Jan;10(1):e15-e17. doi: 10.1055/s-0040-1718774. Epub 2021 Jan 20.
Transcatheter aortic valve replacement has become a popular choice for cases with severe aortic stenosis. However, when severe mitral regurgitation is comorbid in high-risk patients with severe aortic stenosis, therapeutic options must be weighed for each case. Here we present a very frail 88-year-old patient with severe aortic stenosis and severe mitral valve regurgitation who underwent a successful awake minimally invasive mitral valve repair after transcatheter aortic valve replacement.
经导管主动脉瓣置换术已成为重度主动脉瓣狭窄病例的常用选择。然而，当重度二尖瓣反流合并存在于重度主动脉瓣狭窄的高危患者中时，必须针对每个病例权衡治疗方案。在此，我们介绍一位88岁的极度虚弱患者，其患有重度主动脉瓣狭窄和重度二尖瓣反流，在经导管主动脉瓣置换术后成功接受了清醒状态下的微创二尖瓣修复术。
