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结节病与主动脉瓣狭窄:经导管主动脉瓣置换术的作用?

Sarcoidosis and Aortic Stenosis: A Role for Transcatheter Aortic Valve Replacement?

机构信息

Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.

UCF College of Medicine/HCA Ocala Internal Medicine, Ocala, FL.

出版信息

Curr Probl Cardiol. 2021 Dec;46(12):100858. doi: 10.1016/j.cpcardiol.2021.100858. Epub 2021 Apr 3.

Abstract

Sarcoidosis is an infiltrative disease known to affect multiple layers of the heart. Although rare, aortic valve involvement has been seen. The role of transcatheter aortic valve replacement (TAVR) has been described in amyloidosis, a well-known infiltrative disease, but not in sarcoidosis. As the awareness of cardiac sarcoidosis grows, as in amyloidosis, its impact on the aortic valve will grow too. Our review highlights the epidemiology, pathophysiology, and treatment of cardiac sarcoidosis with a discussion for TAVR in patients affected by aortic valve insult.

摘要

结节病是一种已知会影响心脏多个层面的浸润性疾病。虽然罕见,但也有主动脉瓣受累的情况。经导管主动脉瓣置换术(TAVR)已在淀粉样变性等已知浸润性疾病中得到描述,但尚未在结节病中得到描述。随着对心脏结节病认识的提高,就像淀粉样变性一样,它对主动脉瓣的影响也会增加。我们的综述强调了心脏结节病的流行病学、病理生理学和治疗,并讨论了 TAVR 在受主动脉瓣损伤影响的患者中的应用。

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