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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.

DOI:10.1055/s-0040-1721749
PMID:33761560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8043803/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd1/8043803/b6bb8cacc322/10-1055-s-0040-1721749-i190030-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd1/8043803/c8b9dbca4f40/10-1055-s-0040-1721749-i190030-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd1/8043803/b6bb8cacc322/10-1055-s-0040-1721749-i190030-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd1/8043803/c8b9dbca4f40/10-1055-s-0040-1721749-i190030-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd1/8043803/b6bb8cacc322/10-1055-s-0040-1721749-i190030-2.jpg

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2
Treatment of Aortic Coarctation by Self-expanding Thoracic Endograft with Left Subclavian In Situ Laser Fenestration.采用带左锁骨下动脉原位激光开窗的自膨式胸主动脉覆膜支架治疗主动脉缩窄
Ann Vasc Surg. 2019 Apr;56:350.e9-350.e13. doi: 10.1016/j.avsg.2018.07.068. Epub 2018 Oct 18.
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Outcomes of thoracic endovascular aortic repair in adult coarctation patients.
成人缩窄性胸主动脉瘤血管内修复的结果。
J Vasc Surg. 2018 Feb;67(2):369-381.e2. doi: 10.1016/j.jvs.2017.06.103. Epub 2017 Sep 22.
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Balloon Dilatation and Stenting for Aortic Coarctation: A Systematic Review and Meta-Analysis.主动脉缩窄的球囊扩张和支架置入：系统评价与荟萃分析
Circ Cardiovasc Interv. 2016 Jun;9(6). doi: 10.1161/CIRCINTERVENTIONS.115.003153.
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Modern management of adult coarctation: transcatheter and surgical options.成人主动脉缩窄的现代管理：经导管和手术选择。
J Cardiovasc Surg (Torino). 2016 Aug;57(4):557-68. Epub 2016 May 31.
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Intermediate Outcomes in the Prospective, Multicenter Coarctation of the Aorta Stent Trial (COAST).前瞻性、多中心主动脉缩窄支架试验（COAST）的中期结果。
Circulation. 2015 May 12;131(19):1656-64. doi: 10.1161/CIRCULATIONAHA.114.013937. Epub 2015 Apr 13.
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