Morris Joseph Patrick, Cadogan Diarmaid, Casserly Ivan P
Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland
Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.
BMJ Case Rep. 2021 Mar 23;14(3):e240876. doi: 10.1136/bcr-2020-240876.
This case describes the management of a woman in her 70s with severe symptomatic aortic stenosis and concomitant severe stenosis of the suprarenal abdominal aorta due to 'oral eef' calcification of the ortic wall and lumen (CRA). Due to her religious beliefs as a Jehovah's Witness regarding the use of blood products, she rejected the option of surgical aortic valve replacement. Transfemoral (TF) delivery of a transcatheter aortic valve was challenged by the presence of CRA. A successful TF transcatheter aortic valve implantation (TAVI) was achieved by the treatment of the CRA with intravascular lithotripsy-assisted angioplasty, followed by delivery and deployment of a self-expanding TAVI valve.
本病例描述了一名70多岁女性的治疗情况，该患者患有严重症状性主动脉瓣狭窄，并伴有由于主动脉壁和管腔（CRA）的“口服eef”钙化导致的肾上腺腹主动脉严重狭窄。由于她作为耶和华见证人的宗教信仰涉及血液制品的使用，她拒绝了外科主动脉瓣置换的选择。经股动脉（TF）输送经导管主动脉瓣受到CRA的挑战。通过血管内碎石辅助血管成形术治疗CRA，随后输送并展开自膨胀式经导管主动脉瓣置换（TAVI）瓣膜，成功完成了经股动脉经导管主动脉瓣植入术（TAVI）。
