主动脉缩窄的分期血管内修复术继以双瓣膜手术
Staged Endovascular Repair of Aortic Coarctation followed by Double Valve Surgery.
作者信息
Avgerinos Dimitrios V, Dayal Rajeev, Mack Charles, Lang Samuel, Mylonas Konstantinos S
机构信息
Department of Cardiothoracic Surgery, New York Presbyterian Medical Center, Weill Cornell College of Medicine, New York, New York.
Department of Vascular Surgery, New York Presbyterian Medical Center, Weill Cornell College of Medicine, New York, New York.
出版信息
Aorta (Stamford). 2020 Dec;8(6):178-180. doi: 10.1055/s-0040-1721749. Epub 2021 Mar 24.
We present a unique case of late diagnosis of coarctation of the aorta in an adult, presenting with congestive heart failure associated with severe aortic and mitral valve insufficiency. To minimize operative risk, staged endovascular repair of the coarctation was initially performed, followed by aortic valve replacement and mitral valve repair. Six months postoperatively, the 41-year-old patient remains completely asymptomatic.
我们报告了一例独特的成年主动脉缩窄延迟诊断病例，该患者表现为充血性心力衰竭，伴有严重的主动脉瓣和二尖瓣关闭不全。为了将手术风险降至最低，最初对缩窄部位进行了分期血管内修复，随后进行了主动脉瓣置换和二尖瓣修复。术后六个月，这位41岁的患者仍然完全没有症状。
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